Organization Active NPI

Teomar Imaging

  • Vascular & Interventional Radiology Physician
  • Iron Mountain, MI
National Provider Identifier
1720400930
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
4301076417 Issued in MI
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

Updated by the provider on Jan 22, 2014

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

Authorized official

Name
Emma Diponio, MDNPI 1487628863
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)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.