Illinois Diagnostic Imaging, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ILLINOIS DIAGNOSTIC IMAGING, INC

Doing business as

Springfield MRI & Imaging Center

Practice address

319 E Madison St
Suite J
Springfield, IL 62701-1035

Phone

(217) 528-4770

Fax

(217) 528-2154

NPI assigned

May 3, 2006

Last updated

Dec 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel J Schaefer

Title

Coo

Phone

(770) 300-0101

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Springfield MRI & Imaging Center Doing business as

Locations

Practitioners 4

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.

• Jeffrey H Agee, MD

  • Diagnostic Radiology Physician
  • Springfield, IL
  • NPI 1497839567
  NPD (past)
• Nicola L Chiaradonna, M.D.

  • Diagnostic Radiology Physician
  • Las Cruces, NM
  • NPI 1831269018
  NPD (past)
• Yariv Cohen, M.D.

  • Diagnostic Radiology Physician
  • Anchorage, AK
  • NPI 1154396034
  NPD (past)
• Ronald C Petcher, M.D.

  • Specialist
  • Mesa, AZ
  • NPI 1326006800
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259625600000",
    "number": "1649238312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 934988",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311934988",
            "telephone_number": "866-659-1211",
            "fax_number": "336-774-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E MADISON ST",
            "address_2": "SUITE J",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011035",
            "telephone_number": "217-528-4770",
            "fax_number": "217-528-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS DIAGNOSTIC IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-12-01",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-300-0101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "0008432117",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00164612",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield MRI & Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Illinois Department of Human (DHS Central Outpatient Pharmacy)
• Illinois Department of Human Services (Andrew McFarland Mental Health Center)
• Illinois Department of Human Services
• Illinois Department of Public Health (HIV/AIDS Section)
• Illinois Department of Public Health
• Illinois Pharmacists Management Enterprises, LLC (Illinois Community Pharmacy Enhanced Network and Clinic Services)
• Illinois Spine Center SC (Clem Chiropractic Center)
• Morayo Ilubanwo
• Sidra Ilyas, M.D.
• Kevin Andrew Imhoff, D.C.

• Diagnostic Radiology Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.