Medford Radiological Group, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MEDFORD RADIOLOGICAL GROUP, PC

Practice address

842 E Main St
Medford, OR 97504-7134

Phone

(541) 773-2493

Fax

(541) 779-3027

NPI assigned

Oct 20, 2006

Last updated

Jul 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Troychak, M.D.NPI 1841252913

Title

President

Phone

(541) 773-2493

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR, CA, CO, HI, ID, PA, OH, NC, AZ, FL, KS, SC, VA, MI, DC, WA, MO, UT, NV, IA, NJ, MT22 enrollments

Enrollment records 22

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Medford Radiological Group PC

  • Diagnostic Radiology Physician
  • Roseburg, OR
  • NPI 1285930545

  O20100604000059

  Same enrollment
• Medford Radiological Group PC

  • Diagnostic Radiology Physician
  • Bend, OR
  • NPI 1659813392

  O20100604000059

  Same enrollment
• Medford Radiological Group PC

  • Diagnostic Radiology Physician
  • Brookings, OR
  • NPI 1841503109

  O20100604000059

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Medford Radiological Group PC

  • Diagnostic Radiology Physician
  • Brookings, OR
  • NPI 1841503109

  Member Of

  NPD member

Locations

Practitioners 173

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.

• Brent Jerrod Bose, MD

  • Vascular & Interventional Radiology Physician
  • Medford, OR
  • NPI 1841435047
  Medicare reassignment Care Compare group NPD
• Kristen May Bradac, PA-C

  • Physician Assistant
  • Medford, OR
  • NPI 1437504867
  Medicare reassignment Care Compare group NPD
• Jess Campagna, MD

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1790831386
  Medicare reassignment Care Compare group NPD
• Kristina E Darlington-Hansen, D.O.

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1225047889
  Medicare reassignment Care Compare group NPD
• Janie Garcia

  • Physician Assistant
  • Medford, OR
  • NPI 1447044656
  Medicare reassignment Care Compare group NPD
• Zachary Rice Heeter, M.D.

  • Vascular & Interventional Radiology Physician
  • Medford, OR
  • NPI 1952543373

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• James R Hills, MD

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1487647905
  Medicare reassignment Care Compare group NPD
• Brent Robert Keate, MD

  • Vascular & Interventional Radiology Physician
  • Medford, OR
  • NPI 1063845709

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• James L McAnally, MD

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1891767968
  Medicare reassignment Care Compare group NPD
• Edmund Pennington Pillsbury III, MD

  • Diagnostic Radiology Physician
  • Bend, OR
  • NPI 1871793380

  NV

  Medicare reassignment Care Compare group NPD
• Chad Michael Ringger, M.D.

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1134314537
  Medicare reassignment Care Compare group NPD
• John Nathan Simmons, M.D.

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1124052618
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1407938111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1747",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010136",
            "telephone_number": "541-773-2493",
            "fax_number": "541-779-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047134",
            "telephone_number": "541-773-2493",
            "fax_number": "541-779-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD RADIOLOGICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "TROYCHAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-773-2493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109306",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medford Operations, LLC
• Medford Pharmacy Group LLC (West Main Pharmacy)
• Medford Pharmacy Group LLC
• Medford Pharmacy Group LLC (West Main Pharmacy)
• Medford Radiological Group, PC (Oregon Interventional Radiology)
• Medford School District 549C
• Medford School District 549C
• Medford Sports Injury & Therapy Center, Inc.
• Medford West of Olympus, LLC
• Medford Womens Clinic LLP

• Diagnostic Radiology Physician in Medford, OR
• Providers in Medford, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.