Organization Active NPI

Expert Ultrasound Services LLC

  • Diagnostic Ultrasound Physician
  • Columbus, OH
National Provider Identifier
1679258859
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
EXPERT ULTRASOUND SERVICES LLC
Practice address
3100 Plaza Properties Blvd Ste 320
Columbus, OH 43219-1530
Phone
(772) 342-0081
NPI assigned
Jun 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Stephen Rose
Title
Ceo
Phone
(914) 888-6717

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

3100 Plaza Properties Blvd Ste 320
Columbus, OH 43219-1530

Mailing address

72 N State Rd Ste 414
Briarcliff Manor, NY 10510-1414
Phone (914) 888-6717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230817002639 OH Part B Supplier - Clinic/Group Practice 4486016722 Receives reassigned benefits from 3 practitioners
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

72 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 288-5259

Practitioners & affiliated clinicians

Practitioners 3

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": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1679258859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 N STATE RD STE 414",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101414",
            "telephone_number": "914-888-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PLAZA PROPERTIES BLVD STE 320",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191530",
            "telephone_number": "772-342-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT ULTRASOUND SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-888-6717"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.