Organization Active NPI

Crown Radiology Associates

  • Multi-Specialty Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1417479247
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CROWN RADIOLOGY ASSOCIATES
Practice address
602 N High School Rd Ste A2
Indianapolis, IN 46214-3694
Phone
(317) 731-6929
NPI assigned
Jul 13, 2017
Last updated
Jul 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Emmanuel Aiyevbekpen Osagiede, MD
Title
Ceo
Phone
(219) 756-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

602 N High School Rd Ste A2
Indianapolis, IN 46214-3694

Mailing address

602 N High School Rd Ste A2
Indianapolis, IN 46214-3694
Phone (317) 731-6929

National Provider Directory

National Provider Directory

Locations

5363 Commerce Blvd
Ste A
Crown Point, IN 46307
Phone (219) 756-4600

602 N High School Rd
Ste A2
Indianapolis, IN 46214
Phone (317) 731-6929

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1417479247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N HIGH SCHOOL RD STE A2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143694",
            "telephone_number": "317-731-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N HIGH SCHOOL RD STE A2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143694",
            "telephone_number": "317-731-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "OSAGIEDE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "AIYEVBEKPEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-756-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.