Image North Gaylord PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

PM008127 Issued in MI

Legal business name

IMAGE NORTH GAYLORD PC

Practice address

2922 D and M Dr
Gaylord, MI 49735-7417

Phone

(989) 705-1100

Fax

(989) 705-1104

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Patrick J McNamara, DO

Title

President

Phone

(989) 705-1100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538242581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 D AND M DR",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357417",
            "telephone_number": "989-705-1100",
            "fax_number": "989-705-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 D AND M DR",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357417",
            "telephone_number": "989-705-1100",
            "fax_number": "989-705-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE NORTH GAYLORD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-705-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "PM008127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Hunt, MA
• Melanie Hunt, LLPC
• Dustin Huss, PHARM. D
• Stephanie Hutchens, LLMSW
• Soo Young Hwang, MD
• Intelicare Hospice Services II, LLC
• Irb Medical Equipment LLC
• Amy Carol Jaap, PHARMD
• Michael Ryan Jaisle, DDS
• Carissa Jara, CADC

• Diagnostic Radiology Physician in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Diagnostic Radiology Physician in Michigan

• 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.