Active NPI
Mobile X-Ray Services
Doing business as Kosma Mobile X-Ray
- Mobile Radiology Clinic/Center
- Nixa, MO
National Provider Identifier
1396079760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- License
- 000040114
- Legal business name
- MOBILE X-RAY SERVICES
- Doing business as
- Kosma Mobile X-Ray
- Practice address
- 1208 Eaglecrest St
Suite E
Nixa, MO 65714-8458 - Phone
- (417) 863-9729
- Fax
- (417) 863-0720
- NPI assigned
- Oct 1, 2009
- Last updated
- Oct 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Patrick Berrigan, M.D.
- Title
- Owner
- Phone
- (913) 558-9396
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | 000040114 | MO | Primary |
Addresses
Primary practice location
1208 Eaglecrest St
Suite E
Nixa, MO 65714-8458
Mailing address
3825 S Campbell Ave
PMB # 198
Springfield, MO 65807-5339
Phone (417) 863-9729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GMDM6455-R001 | Medicaid | MO |
Other names 1
- Kosma Mobile X-Ray
National Provider Directory
National Provider Directory- Tax ID family
- Kosma Mobile X-Ray
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1208 Eaglecrest St
#E
Nixa, MO 65714
Phone (417) 863-9729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254355200000",
"number": "1396079760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 S CAMPBELL AVE",
"address_2": "PMB # 198",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075339",
"telephone_number": "417-863-9729",
"fax_number": "417-863-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 EAGLECREST ST",
"address_2": "SUITE E",
"city": "NIXA",
"state": "MO",
"postal_code": "657148458",
"telephone_number": "417-863-9729",
"fax_number": "417-863-0720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE X-RAY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-01",
"last_updated": "2009-10-01",
"status": "A",
"authorized_official_last_name": "BERRIGAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "913-558-9396",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "MO",
"license": "000040114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GMDM6455-R001",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kosma Mobile X-Ray",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Nixa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.