IHS Radiology Medical Group, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

IHS RADIOLOGY MEDICAL GROUP, INC.

Doing business as

Imaging Healthcare Specialists

Practice address

150 W Washington St
San Diego, CA 92103-2005

Phone

(619) 295-9729

NPI assigned

Mar 13, 2015

Last updated

Mar 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James E. Labelle, MDNPI 1750381372

Title

President

Phone

(858) 678-7711

Specialties & licenses 3

Addresses

Other names 1

• Imaging Healthcare Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in CA, FL, NY, TX, IL, VA, SC, TN, HI, AZ, NC, MN, CT, OR, GA, MI, MO17 enrollments

Enrollment records 17

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 125

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.

• Derrick Ross Allen, MD

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1215982970
  Medicare reassignment Care Compare group NPD
• Michael Thomas Booker, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1669890588
  Medicare reassignment Care Compare group NPD
• David W Buckley, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1982657060

  MN

  Medicare reassignment Care Compare group NPD
• Eric T Chou, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1689627838
  Medicare reassignment Care Compare group NPD
• James A Cooper, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1497708622

  CT

  Medicare reassignment Care Compare group NPD
• William M Dunn, M.D.

  • Diagnostic Radiology Physician
  • Bakersfield, CA
  • NPI 1871512111
  Medicare reassignment Care Compare group NPD
• Philip David Eaton, D.O.

  • Diagnostic Radiology Physician
  • Escondido, CA
  • NPI 1376803288
  Medicare reassignment Care Compare group NPD
• Steven Lloyd Epner, MD

  • Diagnostic Radiology Physician
  • Oceanside, CA
  • NPI 1720187800
  Medicare reassignment Care Compare group NPD
• Mark Alan Franke, MD

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1114246329
  Medicare reassignment Care Compare group NPD
• Rita Gidwaney, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1528334877

  NY

  Medicare reassignment Care Compare group NPD
• Brian Wayne Goelitz, M.D.

  • Vascular & Interventional Radiology Physician
  • Escondido, CA
  • NPI 1649483850

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Justin Mathias Gooding, M.D.

  • Vascular & Interventional Radiology Physician
  • Oceanside, CA
  • NPI 1245337302
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1497148456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032005",
            "telephone_number": "619-295-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032005",
            "telephone_number": "619-295-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHS RADIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "LABELLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-678-7711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imaging Healthcare Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Diagnostic Radiology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.