Active NPI
Ultra Diagnostics Incorporated
- Sonography Radiologic Technologist
- Hingham, MA
National Provider Identifier
1588747356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- Legal business name
- ULTRA DIAGNOSTICS INCORPORATED
- Practice address
- 180 Gardner St
Hingham, MA 02043-3746 - Phone
- (781) 749-8495
- Fax
- (781) 749-6345
- NPI assigned
- Oct 23, 2006
- 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
- Kimberly Guiney Cobb, BA, MBA
- Title
- Director of Operations
- Phone
- (781) 749-8495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | Primary |
Addresses
Primary practice location
180 Gardner St
Hingham, MA 02043-3746
Mailing address
180 Gardner St
Hingham, MA 02043-3746
Phone (781) 749-8495
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021869 | Other | MA | BLUE CROSS/ BLUE SHIELD |
| 820844 | Other | MA | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050209000312 | MA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0749231595 | Practice locations: Hingham, MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Hilton Head Island, SC
- NPI 1205872389
NPI Registry JSON
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": "1588747356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 GARDNER ST",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020433746",
"telephone_number": "781-749-8495",
"fax_number": "781-749-6345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 GARDNER ST",
"city": "HINGHAM",
"state": "MA",
"postal_code": "020433746",
"telephone_number": "781-749-8495",
"fax_number": "781-749-6345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTRA DIAGNOSTICS INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COBB",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "GUINEY",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "781-749-8495",
"authorized_official_credential": "BA, MBA"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "021869",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "820844",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hingham, MA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.