Organization Active NPI

River City Orthopaedic Surgeons PSC

Doing business as Stonestreet Medical Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Louisville, KY
National Provider Identifier
1730182445
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
RIVER CITY ORTHOPAEDIC SURGEONS PSC
Doing business as
Stonestreet Medical Imaging
Practice address
9300 Stonestreet Rd
Ste 100
Louisville, KY 40272-2876
Phone
(502) 271-4150
Fax
(502) 933-1024
NPI assigned
May 27, 2005
Last updated
Jan 7, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVER CITY ORTHOPAEDIC SURGEONS PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Mrs. Michelle Douglas
Title
Credentialing Manager
Phone
(502) 403-1401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU Primary

Addresses

Primary practice location

9300 Stonestreet Rd
Ste 100
Louisville, KY 40272-2876

Mailing address

9300 Stonestreet Rd
Ste 100
Louisville, KY 40272-2876
Phone (502) 271-4150

Other identifiers 1

IdentifierTypeStateIssuer
65922528MedicaidKY

Other names 1

  • Stonestreet Medical Imaging Doing business as

National Provider Directory

National Provider Directory
Part of
River City Orthopaedic

Locations

9300 Stonestreet Rd
Ste 100
Louisville, KY 40272
Phone (502) 271-4150

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1730182445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 STONESTREET RD",
            "address_2": "STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722876",
            "telephone_number": "502-271-4150",
            "fax_number": "502-933-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 STONESTREET RD",
            "address_2": "STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402722876",
            "telephone_number": "502-271-4150",
            "fax_number": "502-933-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY ORTHOPAEDIC SURGEONS PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVER CITY ORTHOPAEDIC SURGEONS PSC",
        "enumeration_date": "2005-05-27",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-403-1401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65922528",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonestreet Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.