Mid-America Imaging LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

MID-AMERICA IMAGING LLC

Practice address

1512 N Green Mount Rd
O Fallon, IL 62269

Phone

(618) 624-0100

Fax

(618) 624-0102

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Paul M Schroeder, MDNPI 1669425492

Title

Treasurer

Phone

(618) 624-0100

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul M Schroeder, MD

  • Diagnostic Radiology Physician
  • Belleville, IL
  • NPI 1669425492
  NPD (past) Authorized official
• Dean David Hageman, M.D.

  • Diagnostic Radiology Physician
  • Belleville, IL
  • NPI 1609143759
  NPD (past)
• Gregory P Holdener, MD

  • Diagnostic Radiology Physician
  • Belleville, IL
  • NPI 1487607982
  NPD (past)
• Terrence A Tyrrell, MD

  • Diagnostic Radiology Physician
  • Belleville, IL
  • NPI 1578516308
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1730147737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 N GREEN MOUNT RD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "62269",
            "telephone_number": "618-624-0100",
            "fax_number": "618-624-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 N GREEN MOUNT RD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "62269",
            "telephone_number": "618-624-0100",
            "fax_number": "618-624-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "618-624-0100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "25607",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "194352",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "470001974",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8221407",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metro-East Anp Services Inc
• Metro-East Services, Inc.
• Emily Meyer, DC
• Michael Stier Therapy LLC
• Mid America Heart, PC
• Midwest Emergency Management, Inc.
• Midwest Spine & Sport Chiropractic
• Midwest Spine and Rehab Corp
• Stephanie Ellen Milam, MD
• Alison Joye Miller, APN

• All providers in O Fallon, IL
• Magnetic Resonance Imaging (MRI) Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.