Radiology Merrill SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

26317-020 Issued in WI

Legal business name

RADIOLOGY MERRILL SC

Practice address

601 S Center Ave
Merrill, WI 54452-3404

Phone

(262) 338-6176

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Charlotte Ann Neumann

Title

Office Manager

Phone

(262) 338-6176

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Kim M Hilliker, MD

  • Diagnostic Radiology Physician
  • Merrill, WI
  • NPI 1508850264
  NPD (past)
• Anthony J. Rutkowski, M.D.

  • Diagnostic Radiology Physician
  • Rhinelander, WI
  • NPI 1740223445
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1669546347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W RUSCO DR",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959780",
            "telephone_number": "262-338-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CENTER AVE",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544523404",
            "telephone_number": "262-338-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY MERRILL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-338-6176",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "26317-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32723000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Plautz, RN
• Rajender Reddy Polireddy, M.D
• Primary Connection Health Care, Inc
• Quirt Family Dentistry, S.C.
• Quirt Family Dentistry, SC
• Dakota Dean Ress, ATC, LAT
• Rezin Optical LLC
• Carrie Roth
• Noreen Salzman, MSW LCSW
• Paul C Samundsen, MD

• All providers in Merrill, WI
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.