Northeastern High-Field MRI, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0639IC Issued in OH

Legal business name

NORTHEASTERN HIGH-FIELD MRI, LLC

Doing business as

Proscan Imaging Mason

Practice address

4900 Parkway Dr
Suite 140
Mason, OH 45040-8429

Phone

(513) 459-2525

Fax

(513) 459-7555

NPI assigned

Oct 28, 2005

Last updated

Jan 25, 2008By 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

Michael D. O'Brien

Title

Coo

Phone

(513) 281-3400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Proscan Imaging Mason Doing business as

Locations

Practitioners 1

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.

• Malcolm Shupeck, MD

  • Diagnostic Radiology Physician
  • Cincinnati, OH
  • NPI 1245247436
  NPD (past)

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1730179821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 RED BANK EXPY",
            "address_2": "SUITE 128",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452271598",
            "telephone_number": "513-281-3400",
            "fax_number": "513-527-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 PARKWAY DR",
            "address_2": "SUITE 140",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408429",
            "telephone_number": "513-459-2525",
            "fax_number": "513-459-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN HIGH-FIELD MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "513-281-3400"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "0639IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2209158",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000351228",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proscan Imaging Mason",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Nixon, DPT
• Emily Noble, RBT
• Fallon Norman
• Jodi L Norris, MS, CCC-SLP
• Northeast Cincinnati Pediatric Associates, Inc.
• Kevin Novak, PHD , CNIM
• Eric Z Novicki, ATC
• Kathleen M Novicki, P.T.
• Sue Noxsel, O.T.
• Jonathan Kemp Nugent, P.T.

• Diagnostic Radiology Physician in Mason, OH
• Providers in Mason, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.