Organization Active NPI

Shared Medical Technology, Inc

  • Nuclear Medicine Technology Radiologic Technologist
  • Thief River Falls, MN
National Provider Identifier
1679528194
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X
Legal business name
SHARED MEDICAL TECHNOLOGY, INC
Practice address
1720 Hwy 59 SE
Thief River Falls, MN 56701
Phone
(218) 681-4747
NPI assigned
May 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Craig Zadra
Title
Ceo
Phone
(715) 234-6518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Technology Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 2471N0900X Primary

Addresses

Primary practice location

1720 Hwy 59 SE
Thief River Falls, MN 56701

Mailing address

202 W Newton St
Rice Lake, WI 54868-1627

National Provider Directory

National Provider Directory

Locations

202 W Newton St
Rice Lake, WI 54868
Phone (715) 234-1573

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679528194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W NEWTON ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 HWY 59 SE",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "56701",
            "telephone_number": "218-681-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARED MEDICAL TECHNOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZADRA",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-234-6518",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thief River Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.