NPIMap

Organization Active NPI

Woodstock Imaging Associates, Inc.

  • Diagnostic Radiology Physician
  • Woodstock, IL
National Provider Identifier
1730188194
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WOODSTOCK IMAGING ASSOCIATES, INC.
Practice address
3701 Doty Road
Attn: Memorial Medical Center/Radiology Dept.
Woodstock, IL 60098
Phone
(815) 338-2500
Fax
(815) 334-3066
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Merry C. Fliegelman
Title
Credentialing Coordinator
Phone
(630) 874-2542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X IL Primary

Addresses

Primary practice location

3701 Doty Road
Attn: Memorial Medical Center/Radiology Dept.
Woodstock, IL 60098

Mailing address

520 E 22ND Street
Lombard, IL 60148
Phone (630) 874-2542

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730188194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 22ND STREET",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148",
            "telephone_number": "630-874-2542",
            "fax_number": "630-874-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 DOTY ROAD",
            "address_2": "ATTN: MEMORIAL MEDICAL CENTER/RADIOLOGY DEPT.",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "60098",
            "telephone_number": "815-338-2500",
            "fax_number": "815-334-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK IMAGING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FLIEGELMAN",
        "authorized_official_first_name": "MERRY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "630-874-2542"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.