Organization Active NPI

Nuclear Diagnosis, L.L.C.

  • Nuclear Medicine Physician
  • Spearfish, SD
National Provider Identifier
1710937685
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
Legal business name
NUCLEAR DIAGNOSIS, L.L.C.
Practice address
3103 E Fairgrounds Loop
Spearfish, SD 57783-6049
Phone
(605) 717-4447
Fax
(605) 717-4449
NPI assigned
May 11, 2006
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Mr. Judy K Schaeffer
Title
Vice President
Phone
(605) 717-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X NU Primary

Addresses

Primary practice location

3103 E Fairgrounds Loop
Spearfish, SD 57783-6049

Mailing address

3103 E Fairgrounds Loop
P O Box 189
Spearfish, SD 57783-6049
Phone (605) 717-4447

Other identifiers 1

IdentifierTypeStateIssuer
7290230MedicaidSD

National Provider Directory

National Provider Directory

Locations

3103 E Fairgrounds Loop
Spearfish, SD 57783
Phone (605) 717-4447

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1710937685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 E FAIRGROUNDS LOOP",
            "address_2": "P O BOX 189",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577836049",
            "telephone_number": "605-717-4447",
            "fax_number": "605-717-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 E FAIRGROUNDS LOOP",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577836049",
            "telephone_number": "605-717-4447",
            "fax_number": "605-717-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCLEAR DIAGNOSIS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "SCHAEFFER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "605-717-4447",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7290230",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.