Organization Active NPI

CT Scan Center, Inc.

  • Diagnostic Radiology Physician
  • Harrisburg, IL
National Provider Identifier
1750501987
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CT SCAN CENTER, INC.
Practice address
112 E Clark St
Harrisburg, IL 62946-2703
Phone
(618) 252-8337
Fax
(618) 252-8338
NPI assigned
Apr 30, 2007
Last updated
Apr 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Hisham T Youssef, MDNPI 1720078629
Title
Radiologist
Phone
(618) 252-8337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

112 E Clark St
Harrisburg, IL 62946-2703

Mailing address

112 E Clark St
Harrisburg, IL 62946-2703
Phone (618) 252-8337

Other identifiers 1

IdentifierTypeStateIssuer
036089504MedicaidIL

National Provider Directory

National Provider Directory

Locations

112 E Clark St
Harrisburg, IL 62946
Phone (618) 252-8337

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1750501987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E CLARK ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462703",
            "telephone_number": "618-252-8337",
            "fax_number": "618-252-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E CLARK ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462703",
            "telephone_number": "618-252-8337",
            "fax_number": "618-252-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT SCAN CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "618-252-8337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089504",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.