Medical Imaging Associates of Mexico Mo

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MEDICAL IMAGING ASSOCIATES OF MEXICO MO

Practice address

620 E Monroe St
Mexico, MO 65265-2919

Phone

(573) 582-5000

Fax

(314) 845-5668

NPI assigned

Jun 17, 2005

Organization subpart

No

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

Authorized official

Name

Dr. George K Cyriac, MD

Title

Owner/Radiologist

Phone

(573) 582-8553

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• James R Northern, DO

  • Diagnostic Radiology Physician
  • Mexico, MO
  • NPI 1801885702
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487659140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MONROE ST",
            "address_2": "SUITE 202",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652852",
            "telephone_number": "800-354-1088",
            "fax_number": "314-845-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E MONROE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652919",
            "telephone_number": "573-582-5000",
            "fax_number": "314-845-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING ASSOCIATES OF MEXICO MO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CYRIAC",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/RADIOLOGIST",
        "authorized_official_telephone_number": "573-582-8553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711517003",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MO PIN",
            "identifier": "1311",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PIN",
            "identifier": "210116",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE6186",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David L McCarty, MD
• Joanna Zidick McClarey, MS, ATC
• Simon John McKeown, M.D.
• Dwight E. McLeod, D.D.S. M.S.
• Linda Marie McManus, RPH
• Mexico Cardiovascular Associates LLC
• Mexico Eye Center, L.L.C. (Precision Eyecare)
• Mexico Internal Medicine, LLP
• Mexico Manor, Inc. (Mexico Manor)
• Mexico Medical Specialists, L.C.

• Diagnostic Radiology Physician in Mexico, MO
• Providers in Mexico, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.