Active NPI
CT Scan Center, Inc.
- Diagnostic Radiology Physician
- Harrisburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hisham T Youssef, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036089504 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Marion, IL
- NPI 1215429501
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.
-
- Diagnostic Radiology Physician
- Harrisburg, IL
- NPI 1720078629
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.