General Radiology PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

GENERAL RADIOLOGY PC

Practice address

450 E 23Rd St
Fremont, NE 68025

Phone

(402) 721-3070

Fax

(402) 727-3513

NPI assigned

May 10, 2007

Last updated

Apr 30, 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

Dr. Mark Christian Johannsen, MDNPI 1609812718

Title

President General Radiology

Phone

(402) 721-4866

Specialties & licenses 1

Addresses

Locations

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.

• Mark Christian Johannsen, MD

  • Diagnostic Radiology Physician
  • Fremont, NE
  • NPI 1609812718
  Authorized official Same address or phone
• Michael Dean Soe, MD

  • Diagnostic Radiology Physician
  • Fremont, NE
  • NPI 1376589465
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1730393224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 EAST 23RD ST",
            "address_2": "STE 210",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252393",
            "telephone_number": "402-721-4866",
            "fax_number": "402-721-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "68025",
            "telephone_number": "402-721-3070",
            "fax_number": "402-727-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL RADIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "JOHANNSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT GENERAL RADIOLOGY",
        "authorized_official_telephone_number": "402-721-4866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Garges
• Christopher Gartin, MD
• Brianna Soid Gaytan
• Mitchell Ryan Gehrig
• Diane Marie Gehring
• Genoa Healthcare LLC
• Ashten Gibson
• Courtney Gies
• Julie M Gieselman
• Joanna Gildersleeve-Maffitt

• Diagnostic Radiology Physician in Fremont, NE
• Providers in Fremont, NE by specialty
• Diagnostic Radiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.