Active NPI
Northern Radiology, PC
- Diagnostic Radiology Physician
- Cheboygan, MI
National Provider Identifier
1669487237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- NORTHERN RADIOLOGY, PC
- Practice address
- 748 S Main St
Cheboygan, MI 49721-2220 - Phone
- (231) 627-1257
- Fax
- (231) 627-1530
- NPI assigned
- Jul 30, 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
- Michael T Sunday, M.D.
- Title
- Owner/President
- Phone
- (231) 627-1257
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
748 S Main St
Cheboygan, MI 49721-2220
Mailing address
4420 Varsity Dr
Ann Arbor, MI 48108-2233
Phone (734) 677-7400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300A660020 | Other | MI | BCBS/BCN |
| CJ7539 | Other | MI | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
4420 Varsity Dr
Ann Arbor, MI 48108
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Cheboygan, MI
- NPI 1831154061
-
- Diagnostic Radiology Physician
- Petoskey, MI
- NPI 1578529178
-
- Diagnostic Radiology Physician
- Lima, OH
- NPI 1962401182
-
- Diagnostic Radiology Physician
- Santa Fe, NM
- NPI 1891790192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222128000000",
"number": "1669487237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 VARSITY DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481082233",
"telephone_number": "734-677-7400",
"fax_number": "734-677-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "748 S MAIN ST",
"city": "CHEBOYGAN",
"state": "MI",
"postal_code": "497212220",
"telephone_number": "231-627-1257",
"fax_number": "231-627-1530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN RADIOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2008-09-23",
"status": "A",
"authorized_official_last_name": "SUNDAY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "231-627-1257",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS/BCN",
"identifier": "300A660020",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CJ7539",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheboygan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.