Active NPI
Nova Radiology, P.C
- Diagnostic Radiology Physician
- Milwaukie, OR
National Provider Identifier
1457308579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- NOVA RADIOLOGY, P.C
- Practice address
- 10150 SE 32ND Ave
Milwaukie, OR 97222-6516 - Phone
- (541) 513-8300
- NPI assigned
- May 27, 2006
- 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
- Thomas R. Brown, M.D.
- Title
- President
- Phone
- (503) 513-8300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | OR | Primary |
Addresses
Primary practice location
10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Mailing address
PO Box 547
Corvallis, OR 97339-0547
Phone (541) 758-5047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060264 | Medicaid | OR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Milwaukie, OR
- NPI 1851319016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194480000000",
"number": "1457308579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973390547",
"telephone_number": "541-758-5047",
"fax_number": "541-758-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10150 SE 32ND AVE",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972226516",
"telephone_number": "541-513-8300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA RADIOLOGY, P.C",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2007-11-08",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-513-8300",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060264",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.