Organization Active NPI

Image Radiology Group

  • Specialist
  • MC Murray, PA
National Provider Identifier
1619955374
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
IMAGE RADIOLOGY GROUP
Practice address
4198 Washington Rd
MC Murray, PA 15317-2560
Phone
(724) 942-5144
Fax
(724) 942-8141
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Tonya L Rebar
Title
Office Manager
Phone
(724) 489-0263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4198 Washington Rd
MC Murray, PA 15317-2560

Mailing address

90 Chamber PLZ
Charleroi, PA 15022-1620
Phone (724) 489-0263

Other identifiers 14

IdentifierTypeStateIssuer
0508628OtherPAAETNA
1009731OtherPAGATEWAY HEALTH PLAN
1537247OtherPAUNITED MINE WORKERS
0012584360010MedicaidPA
0012584360015MedicaidPA
710328OtherPABLUECROSS/BLUESHIELD
0012584360009MedicaidPA
19136OtherPAHEALTH AMERICA
0012584360014MedicaidPA
C10824OtherPARAILROAD MEDICARE
0012584360013MedicaidPA
62457OtherPAUNISON
0012584360011MedicaidPA
0012584360018MedicaidPA

National Provider Directory

National Provider Directory

Locations

117 Wilson Rd
Bentleyville, PA 15314
Phone (724) 239-5000

283 North St
Meadville, PA 16335
Phone (724) 968-7014

2550 Mosside Blvd
Ste 116
Monroeville, PA 15146
Phone (412) 373-1874

701 4th Ave
New Kensington, PA 15068
Phone (724) 335-2727

5000 McKnight Rd
Pittsburgh, PA 15237
Phone (412) 366-0205

201 S Highland Ave
Ste 109
Pittsburgh, PA 15206
Phone (412) 362-7475

300 Northpointe Cir
Ste 102
Seven Fields, PA 16046
Phone (412) 580-8300

Practitioners & affiliated clinicians

Practitioners 12

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": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1619955374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CHAMBER PLZ",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150221620",
            "telephone_number": "724-489-0263",
            "fax_number": "724-489-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4198 WASHINGTON RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172560",
            "telephone_number": "724-942-5144",
            "fax_number": "724-942-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE RADIOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "REBAR",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-489-0263"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0508628",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1009731",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1537247",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012584360010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012584360015",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "710328",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012584360009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "19136",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012584360014",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C10824",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012584360013",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "62457",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012584360011",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012584360018",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.