Marion Medical Xray

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MARION MEDICAL XRAY

Practice address

1008 W Cherry St
Marion, IL 62959-1998

Phone

(618) 997-6909

Fax

(618) 997-7759

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Judy Kay Brandon

Title

Office Manager

Phone

(618) 997-6909

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• MARION MEDICAL XRAY Other name

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1760550222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 W CHERRY ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591998",
            "telephone_number": "618-997-6909",
            "fax_number": "618-997-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W CHERRY ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591998",
            "telephone_number": "618-997-6909",
            "fax_number": "618-997-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION MEDICAL XRAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-997-6909",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER #",
            "identifier": "693272",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA",
            "identifier": "164921",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "271836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1052274",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  BLUE SHIELD",
            "identifier": "2800075",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "863211",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360443201",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARION MEDICAL XRAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marion Healthcare LLC
• Marion Hospital Corporation (Heartland Regional Medical Center)
• Marion Hospital Corporation (Heartland Regional Medical Center)
• Marion Hospital Corporation (Heartland Regional Medical Center)
• Marion Hospital Corporation (Heartland Regional Medical Center)
• Marion Obstetrics & Gynecology, LTD
• Marion Pediatric Clinic SC
• Marion Rehabilitation and Nursing Center,LLC
• Marion Surgery Center LTD
• Marion Surgery Center LTD

• Diagnostic Radiology Physician in Marion, IL
• Providers in Marion, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.