NPIMap

Organization Active NPI

West Central Radiological Associates, LTD

  • Diagnostic Radiology Physician
  • Willmar, MN
National Provider Identifier
1396791984
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
207 Issued in MN
Legal business name
WEST CENTRAL RADIOLOGICAL ASSOCIATES, LTD
Practice address
1101 1St St S Ste 5
West Central Radiological Associates, LTD
Willmar, MN 56201-3500
Phone
(320) 262-3344
Fax
(320) 262-3347
NPI assigned
May 25, 2006
Last updated
Dec 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barry Ostby Sewall, MDNPI 1437104825
Title
President
Phone
(320) 262-3344

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 207 MN Primary

Addresses

Primary practice location

1101 1St St S Ste 5
West Central Radiological Associates, LTD
Willmar, MN 56201-3500

Mailing address

1101 1St St S Ste 5
West Central Radiological Associates, LTD
Willmar, MN 56201-3500
Phone (320) 262-3344

Other identifiers 1

IdentifierTypeStateIssuer
768208500MedicaidMN

National Provider Directory

National Provider Directory

Locations

1101 1st St S
Ste 5
Willmar, MN 56201
Phone (320) 262-3344

401 5th St SW
Willmar, MN 56201
Phone (320) 262-3344

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1396791984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 1ST ST S STE 5",
            "address_2": "WEST CENTRAL RADIOLOGICAL ASSOCIATES, LTD",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013500",
            "telephone_number": "320-262-3344",
            "fax_number": "320-262-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 1ST ST S STE 5",
            "address_2": "WEST CENTRAL RADIOLOGICAL ASSOCIATES, LTD",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013500",
            "telephone_number": "320-262-3344",
            "fax_number": "320-262-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL RADIOLOGICAL ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "SEWALL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "OSTBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-262-3344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768208500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.