Independent Radiology Services, LTD.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

INDEPENDENT RADIOLOGY SERVICES, LTD.

Practice address

2829 University Dr S
Site 104
Fargo, ND 58103-6050

Phone

(701) 293-0522

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea J Card

Title

Billing Administrator

Phone

(877) 274-2459

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 4

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

• William F Wosick, MD

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1700808375
  Medicare reassignment NPD
• Bruce A Asleson, MD

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1306863394
  NPD (past)
• Dale R Shook, MD

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1104847326
  NPD (past)
• Nancy Shaffer, MD

  • Diagnostic Radiology Physician
  • North Chesterfield, VA
  • NPI 1639191299
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1538254586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2746",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581082746",
            "telephone_number": "701-293-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 UNIVERSITY DR S",
            "address_2": "SITE 104",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036050",
            "telephone_number": "701-293-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT RADIOLOGY SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "CARD",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "877-274-2459",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "49517GM",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "633313300",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16301",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Diagnostic Radiology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.