Organization Active NPI

North Ohio Medical Imaging

  • Diagnostic Radiology Physician
  • Westlake, OH
National Provider Identifier
1528058260
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NORTH OHIO MEDICAL IMAGING
Practice address
2211 Crocker Rd
Suite 140
Westlake, OH 44145-7602
Phone
(440) 808-9729
Fax
(440) 892-0425
NPI assigned
Oct 25, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Darin Wiswell
Title
Administrator
Phone
(440) 808-9729

Specialties & licenses 1

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

Addresses

Primary practice location

2211 Crocker Rd
Suite 140
Westlake, OH 44145-7602

Mailing address

2211 Crocker Rd
Suite 140
Westlake, OH 44145-7602
Phone (440) 808-9729

Other identifiers 1

IdentifierTypeStateIssuer
2629007MedicaidOH

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528058260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 CROCKER RD",
            "address_2": "SUITE 140",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441457602",
            "telephone_number": "440-808-9729",
            "fax_number": "440-892-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CROCKER RD",
            "address_2": "SUITE 140",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441457602",
            "telephone_number": "440-808-9729",
            "fax_number": "440-892-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OHIO MEDICAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISWELL",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-808-9729",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "2629007",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.