Active NPI
Nuclear Diagnosis, L.L.C.
- Nuclear Medicine Physician
- Spearfish, SD
National Provider Identifier
1710937685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- 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, 2007
- 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
- Mr. Judy K Schaeffer
- Title
- Vice President
- Phone
- (605) 717-4447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7290230 | Medicaid | SD |
National Provider Directory
National Provider DirectoryLocations
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
- Northern Hills Counseling Associates LLC
- Northern Hills Nutrition and Dietetics, LLC
- Northern Hills Psychological Services, LLC
- Northern Hills Training Center, Inc.
- Michelle Elizabeth Novak, NCC
- Kelsey Raye Nylander, D.O.
- Meghan Colleen O'Bryan, MD
- Grace Marie O'Connor
- Occupational Health Network, Inc.
- Daniel Ochoa
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.