Upper Peninsula Imaging PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301073668 Issued in MI

Legal business name

UPPER PENINSULA IMAGING PC

Practice address

901 Lakeshore Dr
Ishpeming, MI 49849-1367

Phone

(906) 225-5109

NPI assigned

Oct 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Todd K Bostwick, M.DNPI 1972657690

Title

President

Phone

(906) 225-5109

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

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

• Todd K Bostwick, MD

  • Diagnostic Radiology Physician
  • Ishpeming, MI
  • NPI 1972657690
  Medicare reassignment NPD Authorized official
• Erich Glenn Smith, MD

  • Diagnostic Radiology Physician
  • Ishpeming, MI
  • NPI 1023577392
  Medicare reassignment Care Compare group NPD
• Zachary Charles Smith, MD

  • Diagnostic Radiology Physician
  • Ann Arbor, MI
  • NPI 1750720629
  Medicare reassignment Care Compare group NPD
• Niksa Vlasic, M.D.

  • Diagnostic Radiology Physician
  • Ishpeming, MI
  • NPI 1669449625
  Medicare reassignment Care Compare group NPD
• Paul A Lyle, M.D.

  • Diagnostic Radiology Physician
  • Hancock, MI
  • NPI 1427131093
  Medicare reassignment NPD
• Christopher Thomas Hunnicutt, M.D.

  • Vascular & Interventional Radiology Physician
  • Anchorage, AK
  • NPI 1619159647

  Diagnostic Radiology, MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1619252442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 US 41 W",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552252",
            "telephone_number": "906-225-3964",
            "fax_number": "906-226-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LAKESHORE DR",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491367",
            "telephone_number": "906-225-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER PENINSULA IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "BOSTWICK",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-225-5109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301073668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Scott Swanson, RN
• Gregory Miles Toutant
• Turino Chiropractic Center, PC
• Turino Chiropractic Center, PC
• U P Eye Specialists PLC
• Jennifer G Vandyck
• Niksa Vlasic, M.D.
• Melissa Ann Wachter, RN
• Steven J Wallner, PHARMD
• Sydnie Wedig, DPT

• Diagnostic Radiology Physician in Ishpeming, MI
• Providers in Ishpeming, 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 Oct 12, 2011; 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.