Active NPI
Visionary Imaging LLC
- Diagnostic Radiology Physician
- West Plains, MO
National Provider Identifier
1700881851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- VISIONARY IMAGING LLC
- Practice address
- 1100 N Kentucky Ave
West Plains, MO 65775-2029 - Phone
- (800) 354-1088
- Fax
- (314) 631-4491
- NPI assigned
- Jun 16, 2005
- 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
- Thomas R Frenz
- Title
- Managing Member/Owner
- Phone
- (888) 275-9737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MO | Primary |
Addresses
Primary practice location
1100 N Kentucky Ave
West Plains, MO 65775-2029
Mailing address
6245 Lemay Ferry Rd
Saint Louis, MO 63129-2805
Phone (800) 354-1088
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF5867 | Other | MO | MEDICARE RAILROAD |
| DE0857 | Other | OK | MEDICARE RAILROAD |
| DG3823 | Other | TX | MEDICARE RAILROAD |
| 161149002 | Medicaid | AR | |
| 186488601 | Medicaid | TX | |
| 200063580A | Medicaid | OK | |
| DF5273 | Other | IL | MEDICARE RAILROAD |
| 509368601 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
10720 Nall Ave
Spc Hosp
Overland Park, KS 66211
Phone (913) 754-5000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Edinburg, TX
- NPI 1356347892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1700881851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6245 LEMAY FERRY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631292805",
"telephone_number": "800-354-1088",
"fax_number": "314-845-5669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N KENTUCKY AVE",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657752029",
"telephone_number": "800-354-1088",
"fax_number": "314-631-4491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISIONARY IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-16",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "FRENZ",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
"authorized_official_telephone_number": "888-275-9737"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DF5867",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DE0857",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DG3823",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161149002",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186488601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200063580A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DF5273",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "509368601",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.