NPIMap

Organization Active NPI

NRS Arizona, PA

  • Diagnostic Radiology Physician
  • Bigfork, MN
National Provider Identifier
1447569942
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NRS ARIZONA, PA
Practice address
258 Pine Tree Drive
Bigfork, MN 56628
Phone
(218) 743-4444
NPI assigned
Sep 30, 2010
Last updated
Nov 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Timothy V Myers, MD
Title
President
Phone
(208) 292-2258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

258 Pine Tree Drive
Bigfork, MN 56628

Mailing address

4900 N Scottsdale Rd
Suite 6000
Scottsdale, AZ 85251-7652
Phone (208) 292-2258

National Provider Directory

National Provider Directory
Tax ID family
NRS Arizona PA16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1447569942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 N SCOTTSDALE RD",
            "address_2": "SUITE 6000",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517652",
            "telephone_number": "208-292-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 PINE TREE DRIVE",
            "city": "BIGFORK",
            "state": "MN",
            "postal_code": "56628",
            "telephone_number": "218-743-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRS ARIZONA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-292-2258",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bigfork, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.