Missouri Imaging, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MISSOURI IMAGING, INC

Practice address

3065 William St
Suite 109
Cape Girardeau, MO 63703-6393

Phone

(573) 332-8300

Fax

(573) 332-8383

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Daniel J Schaefer

Title

Coo

Phone

(770) 300-0101

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Cape Imaging Doing business as

Locations

Practitioners 4

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

• Robert E Gardner, MD

  • Neurology Physician
  • Cape Girardeau, MO
  • NPI 1346251436
  NPD (past)
• Kee Bum Park, MD

  • Specialist
  • Cape Girardeau, MO
  • NPI 1891797668
  NPD (past)
• Dean Rigby, MD

  • Diagnostic Radiology Physician
  • Poplar Bluff, MO
  • NPI 1851371702
  NPD (past)
• Jacob Joseph Parker, MD

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
  • NPI 1093788770
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1497713168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 934995",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311934995",
            "telephone_number": "866-659-1211",
            "fax_number": "336-774-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 WILLIAM ST",
            "address_2": "SUITE 109",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036393",
            "telephone_number": "573-332-8300",
            "fax_number": "573-332-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-300-0101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "154189",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "717256804",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7840082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "470000936",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie M Mirly, FNP, ENP
• Missouri CVS Pharmacy LLC
• Missouri CVS Pharmacy LLC
• Missouri CVS Pharmacy, L.L.C.
• Missouri Emergency Providers PC
• Missouri Med LLC
• Missouri Medical Providers LLC
• Missouri Plastic & Hand Surgery PC
• Missouri United Psych LLC
• Missouri Upper Cervical Family Clinic LLC

• Diagnostic Radiology Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, 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 11, 2013; 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.