Organization Active NPI

Echocardiography on Wheels, LC

  • Sonography Specialist/Technologist Cardiovascular
  • Boyne City, MI
National Provider Identifier
1588150064
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
Legal business name
ECHOCARDIOGRAPHY ON WHEELS, LC
Practice address
120 Water St
Boyne City, MI 49712
Phone
(231) 303-3950
Fax
(231) 344-5953
NPI assigned
Jul 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Tiffany Marie Faulknor, AASNPI 1811483571
Title
Cardiac Sonographer
Phone
(231) 459-8915

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)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193400000X SINGLE SPECIALTY GROUP 246XS1301X Primary

Addresses

Primary practice location

120 Water St
Boyne City, MI 49712

Mailing address

120 Water St
Boyne City, MI 49712-1696
Phone (231) 303-3950

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1588150064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WATER ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497121696",
            "telephone_number": "231-303-3950",
            "fax_number": "231-344-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WATER ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "49712",
            "telephone_number": "231-303-3950",
            "fax_number": "231-344-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHOCARDIOGRAPHY ON WHEELS, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-07",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "FAULKNOR",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CARDIAC SONOGRAPHER",
        "authorized_official_telephone_number": "231-459-8915",
        "authorized_official_credential": "AAS"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyne City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.