Diagnostic Medical X Ra

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DIAGNOSTIC MEDICAL X RA

Practice address

8390 Tod Ave
Youngstown, OH 44512-6366

Phone

(330) 726-6010

Fax

(330) 726-6017

NPI assigned

Mar 6, 2006

Organization subpart

No

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

Authorized official

Name

Adam G Crouch, D.O.NPI 1194833343

Title

President

Phone

(330) 726-6010

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam G Crouch, D.O.

  • Diagnostic Radiology Physician
  • Youngstown, OH
  • NPI 1194833343
  NPD (past) Authorized official

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1487621785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3257",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445133257",
            "telephone_number": "330-726-6010",
            "fax_number": "330-726-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 TOD AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126366",
            "telephone_number": "330-726-6010",
            "fax_number": "330-726-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC MEDICAL X RA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-06",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-726-6010",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanpreet Dhaliwal, M.D.
• Amrita K Dhanoa, MD
• Daljeet K Dhillon, LPCC
• Shreebatsa Dhital, M.D.
• Roshni Di Stefano, PT, DPT
• Dialyne Company
• Jordan Diana, AGNP
• Maria F Diaz
• Raquel Diaz
• Danielle Lynn Dibella

• Diagnostic Radiology Physician in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.