Active NPI
Rural Diagnostic Radiology, Inc
- Diagnostic Radiology Physician
- Centerville, IA
National Provider Identifier
1578664637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RURAL DIAGNOSTIC RADIOLOGY, INC
- Practice address
- 1 Saint Joseph Dr
Centerville, IA 52544-9017 - Phone
- (641) 437-4111
- NPI assigned
- Sep 25, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary A Christensen, M.D.
- Title
- Owner
- Phone
- (641) 856-5974
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1 Saint Joseph Dr
Centerville, IA 52544-9017
Mailing address
PO Box 609
Shelton, NE 68876-0609
Phone (308) 647-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0310656 | Medicaid | IA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Albert Lea, MN
- NPI 1689633885
-
- Diagnostic Radiology Physician
- Columbus, NE
- NPI 1801855002
-
- Radiation Oncology Physician
- Ogdensburg, NY
- NPI 1235198425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1578664637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 609",
"city": "SHELTON",
"state": "NE",
"postal_code": "688760609",
"telephone_number": "308-647-4900",
"fax_number": "308-647-5378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT JOSEPH DR",
"city": "CENTERVILLE",
"state": "IA",
"postal_code": "525449017",
"telephone_number": "641-437-4111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RURAL DIAGNOSTIC RADIOLOGY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHRISTENSEN",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "641-856-5974",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0310656",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, IA
- River Hills Community Health Center Inc (RHCHC Howar Middle School)
- River Hills Community Health Center Inc. (Centerville High School)
- Ron M. Harshman, DDS
- Brandon Wesley Rook, DDS
- Mayra Rook, DDS
- Rachel Lee Ryals, PHARMD
- Cyntha Susanne See, CADC
- Jackie Ann Sharp, LISW
- Jodi Smith, R.N.
- Neal R. Sokol, DO
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.