Active NPI
Teomar Imaging
- Vascular & Interventional Radiology Physician
- Iron Mountain, MI
National Provider Identifier
1720400930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 4301076417
- Legal business name
- TEOMAR IMAGING
- Doing business as
- Iron Mountain Vein
- Practice address
- 1115 S Hemlock St
Suite 3
Iron Mountain, MI 49801-3800 - Phone
- (855) 834-6292
- NPI assigned
- Jan 8, 2014
- 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
- Emma Diponio, MD
- Title
- President
- Phone
- (855) 834-6292
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 4301076417 | MI | Primary |
Addresses
Primary practice location
1115 S Hemlock St
Suite 3
Iron Mountain, MI 49801-3800
Mailing address
PO Box 767
Iron Mountain, MI 49801-0767
Phone (855) 834-6292
Other names 1
- Iron Mountain Vein
National Provider Directory
National Provider DirectoryLocations
1115 S Hemlock St
Ste 3
Iron Mountain, MI 49801
Phone (855) 834-6292
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
- Iron Mountain, MI
- NPI 1487628863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390348800000",
"number": "1720400930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 767",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498010767",
"telephone_number": "855-834-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 S HEMLOCK ST",
"address_2": "SUITE 3",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498013800",
"telephone_number": "855-834-6292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEOMAR IMAGING",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-08",
"last_updated": "2014-01-22",
"status": "A",
"authorized_official_last_name": "DIPONIO",
"authorized_official_first_name": "EMMA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "855-834-6292",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "4301076417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Iron Mountain Vein",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Iron Mountain, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.