Organization Active NPI

Firelands Radiology, Inc

  • Diagnostic Radiology Physician
  • Norwalk, OH
National Provider Identifier
1457433849
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
FIRELANDS RADIOLOGY, INC
Practice address
54 Executive Dr
Norwalk, OH 44857-9566
Phone
(418) 668-3349
Fax
(419) 663-6541
NPI assigned
Oct 19, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Michael J Frisch
Title
Business Manager
Phone
(419) 668-3349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X OH Primary

Addresses

Primary practice location

54 Executive Dr
Norwalk, OH 44857-9566

Mailing address

54 Executive Dr
Norwalk, OH 44857-9566
Phone (418) 668-3349

Other identifiers 2

IdentifierTypeStateIssuer
0517266MedicaidOH
CF4994OtherOHRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050919001101 OH Part B Supplier - Clinic/Group Practice 7012941172 Receives reassigned benefits from 8 practitioners
Practice locations: Norwalk, OH

National Provider Directory

National Provider Directory

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1457433849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 EXECUTIVE DR",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448579566",
            "telephone_number": "418-668-3349",
            "fax_number": "419-663-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 EXECUTIVE DR",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448579566",
            "telephone_number": "418-668-3349",
            "fax_number": "419-663-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRELANDS RADIOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FRISCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "419-668-3349",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0517266",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CF4994",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.