NPIMap

Organization Active NPI

Northstar Imaging Inc

  • Diagnostic Radiology Physician
  • Winnemucca, NV
National Provider Identifier
1376628263
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NORTHSTAR IMAGING INC
Practice address
118 E Haskell St
Winnemucca, NV 89445-3247
Phone
(775) 623-5222
NPI assigned
Oct 26, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Robert G Leckie, MDNPI 1861490559
Title
Treasurer
Phone
(775) 813-8054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

1001 Mountain St
Ste 3H
Carson City, NV 89703
Phone (775) 445-7756

6490 S McCarran Blvd
Ste A6
Reno, NV 89509
Phone (775) 448-9760

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

NPPES NPI Registry

Primary practice location

118 E Haskell St
Winnemucca, NV 89445-3247

Mailing address

PO Box 32936
Knoxville, TN 37930-2936
Phone (877) 905-6553

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
300075919OtherNVRAILROAD MEDICARE
DB5649OtherUTRAILROAD MEDICARE
100500055MedicaidNV

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2014.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1376628263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32936",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379302936",
            "telephone_number": "877-905-6553",
            "fax_number": "608-788-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E HASKELL ST",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894453247",
            "telephone_number": "775-623-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "LECKIE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "775-813-8054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300075919",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB5649",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500055",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnemucca, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.