Skowhegan Imaging Associates, P.a.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SKOWHEGAN IMAGING ASSOCIATES, P.A.

Practice address

46 Fairview Ave
Skowhegan, ME 04976-1481

Phone

(207) 474-5121

NPI assigned

Dec 30, 2005

Organization subpart

No

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

Authorized official

Name

Anthony Vandyck, M.D.

Title

President

Phone

(207) 784-2554

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1538146402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FAIRVIEW AVE",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761481",
            "telephone_number": "207-474-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKOWHEGAN IMAGING ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "VANDYCK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-784-2554",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Judith L Slattery, LSW, CADC
• Andrea Lynn Smith, LSW
• Benjamin Emory Smith, LCSW
• Elijah Soll, MS BCBA CEO

• Diagnostic Radiology Physician in Skowhegan, ME
• Providers in Skowhegan, ME by specialty
• Diagnostic Radiology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.