Midwest Radiology and Imaging PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MIDWEST RADIOLOGY AND IMAGING PC

Practice address

1200 1St Ave E
Spencer, IA 51301-4342

Phone

(712) 262-7511

Fax

(712) 262-3658

NPI assigned

May 24, 2005

Last updated

Aug 31, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Allen Crouch, M.D.NPI 1477556280

Title

Physician/Owner

Phone

(712) 262-7511

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 4

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.

• Timothy Joel Hurst, MD

  • Body Imaging Physician
  • Iowa City, IA
  • NPI 1295265304
  Medicare reassignment Care Compare group NPD
• Louis Roemhildt, M.D.

  • Diagnostic Radiology Physician
  • Hartsville, SC
  • NPI 1386611556

  IA

  Medicare reassignment Care Compare group NPD
• Nathan Rohling, D.O.

  • Diagnostic Radiology Physician
  • Fort Leavenworth, KS
  • NPI 1043475866

  IA

  Medicare reassignment Care Compare group NPD
• Charles Allen Crouch, M.D.

  • Diagnostic Radiology Physician
  • Spencer, IA
  • NPI 1477556280
  Authorized official Same address or phone

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1720081524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014342",
            "telephone_number": "712-262-7511",
            "fax_number": "712-262-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014342",
            "telephone_number": "712-262-7511",
            "fax_number": "712-262-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST RADIOLOGY AND IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "712-262-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN6278",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Merryman
• Lisa Merryman
• Nathaniel Amiel Meyer, M.D.
• Michael K Chapman OD PC
• Midwest Hearing Clinic, P.C.
• Kelly Jean Mills, DPT
• Morgan Jonette Mills, DPT
• Clayton Milner, M.D.
• Richard Mishler, CRNA
• Stephanie Kim Moermond, MA, ATC, LAT

• Medical Specialty Clinic/Center in Spencer, IA
• Providers in Spencer, IA by specialty
• Medical Specialty Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.