Individual provider Active NPI

Edward E Missinne, MD

  • Diagnostic Radiology Physician
  • Canton, OH
National Provider Identifier
1780046318
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A181756 Issued in CA
Practice address
2600 6TH St SW
Canton, OH 44710-1702
Phone
(844) 722-4471
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A181756 CA Primary
Diagnostic Radiology Physician 2085R0202X 0101284837 VA

Addresses

Primary practice location

2600 6TH St SW
Canton, OH 44710-1702

Mailing address

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-1550

Other practice location 1

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Other practice location 2

2801 Atlantic Ave
Long Beach, CA 90806
Phone (562) 933-1550

Other practice location 3

2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 432-8950

Other practice location 4

1100 Marshall Way
Placerville, CA 95667-6533
Phone (530) 626-2613

Other practice location 5

310 Salem Woodstown Rd
Salem, NJ 08079-2064
Phone (856) 339-6054

Other practice location 6

4301 W Markham St # 556
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 7

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OH, CA, AR, NV, NJ, NC7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20220915002105 GA Practitioner - Diagnostic Radiology 2769899830 Reassigns benefits to 14 organizations
I20221117001846 OH Practitioner - Diagnostic Radiology 2769899830 Reassigns benefits to 2 organizations
I20250404000571 CA Practitioner - Diagnostic Radiology 2769899830 Reassigns benefits to 6 organizations
I20250606002003 AR Practitioner - Diagnostic Radiology 2769899830 Reassigns benefits to 2 organizations
I20250613002810 NV Practitioner - Diagnostic Radiology 2769899830 Reassigns benefits to 1 organization
I20250804003520 NJ Practitioner - Diagnostic Radiology 2769899830 Reassigns benefits to 4 organizations
I20260402000045 NC Practitioner - Diagnostic Radiology 2769899830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Morehouse School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
County of MontereyGroup PAC ID 2466345632, 186 clinicians
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians
Placerville Radiology Medical Group IncGroup PAC ID 0143382374, 62 clinicians
Radx Imaging Partners IncGroup PAC ID 5698113041, 46 clinicians
Peninsula Radiological Associates LimitedGroup PAC ID 5991603573, 64 clinicians
Washington Radiologists Medical Group IncGroup PAC ID 6305927245, 66 clinicians
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians
Aultman Now Urgent Care, LLCGroup PAC ID 7719318633, 43 clinicians
Universal Radiology Partners of NevadaGroup PAC ID 5799295259, 71 clinicians

Practice addresses (Care Compare)

Atlanta, GA 30308
Phone (330) 363-2842

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000

11001 Executive Ctr Dr
Suite 200 C
Little Rock, AR 72211-4348
Phone (501) 812-7587

111 S Grant Ave
Ohiohealth Grant Medical Center
Columbus, OH 43215-4701
Phone (614) 228-7231

1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235

155 Bridgeton Pike
Suite C
Mullica Hill, NJ 08062-2639
Phone (856) 994-0005

205 12TH St NE
Apt 1205
Atlanta, GA 30309-4758
Phone (209) 577-4444

205 12TH St NE
Apt 806
Atlanta, GA 30309-4754
Phone (530) 626-2613

2600 Navarre Ave
MHN St Charles Hospital
Oregon, OH 43616-3207
Phone (419) 696-7225

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-1554

4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000

443 Congressional CT
Augusta, GA 30907-7908
Phone (209) 647-2184

500 W Hospital Rd
French Camp, CA 95231-9693

6100 Whipple Ave NW
North Canton, OH 44720-7618
Phone (330) 305-6999

620 Shadow LN
Las Vegas, NV 89106-4119
Phone (702) 388-4000

6241 Arnall CT NW
Acworth, GA 30101-9518
Phone (888) 522-4514

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101284837VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Health Network Medical Group, P.C. CurrentSince May 24, 2025 Accepting new patients
County of Monterey Behavioral Health CurrentSince Jul 1, 2025 Accepting new patients
Arkansas Health Group CurrentSince Jun 15, 2025 Accepting new patients
St Jude Radiology Medical Group Inc Diagnostic Radiology CurrentSince Mar 15, 2025 Accepting new patients
County of San Joaquin CurrentSince Mar 10, 2025 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Apr 6, 2024 Accepting new patients
Peninsula Radiological Associates Limited Diagnostic Radiology CurrentSince Jun 15, 2025 Accepting new patients
County of San Joaquin CurrentSince Mar 10, 2025 Accepting new patients
Delta Radiology, Inc. CurrentSince Apr 1, 2025 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Mar 10, 2025 Accepting new patients
X-Ray Associates of Louisville PSC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Memorialcare Medical Foundation CurrentSince Oct 12, 2025 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Jun 1, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Nov 5, 2025 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Central Valley Imaging Medical Associates, Inc Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
County of Monterey CurrentSince Jul 1, 2025 Accepting new patients
Radx Imaging Partners Inc Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
Valley Physician Services PC CurrentSince Dec 29, 2025 Accepting new patients
Modesto Radiological Medical Group, Inc. Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Hampton Roads Radiology Associates, PC Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Universal Radiology Partners of Nevada LLC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
Charlottesville Radiology LTD Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Contemporary Diagnostic Imaging, LLC CurrentSince Oct 12, 2025 Accepting new patients
Aultman Now Urgent Care, LLC CurrentSince Aug 4, 2022 Accepting new patients
Arkansas Health Group Diagnostic Radiology CurrentSince Jun 15, 2025 Accepting new patients
Capital Health Multispecialty Group Diagnostic Radiology CurrentSince Sep 9, 2025 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Sep 1, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Nov 5, 2025 Accepting new patients
Washington Radiologists Medical Group, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Placerville Radiology Medical Group Inc Diagnostic Radiology CurrentSince Feb 3, 2025 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients
Delta Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
County of Monterey Past Accepting new patients
Tsenovoy Medical PC Past Accepting new patients

Locations (25 of 72)

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#556
Little Rock, AR 72205
Phone (501) 296-1095

11001 Executive Center Dr
Ste 200C
Little Rock, AR 72211
Phone (501) 812-7587

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

1031 S Fairmont Ave
Lodi, CA 95240
Phone (209) 333-7422

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

176 Palisade Ave
Jersey City, NJ 07306
Phone (201) 795-8200

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

134 Bridgeton Pike
Ste C
Mullica Hill, NJ 08062
Phone (856) 478-2111

155 Bridgeton Pike
Ste C
Mullica Hill, NJ 08062
Phone (856) 223-8930

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: emissinne734771@hisp.ehr.sutterhealth.org
  • Direct secure messaging: emissinne153433@direct.whhs.com

Organizations & group practices 41

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 41

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1780046318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-1550",
            "fax_number": "562-933-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "844-722-4471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90806",
            "country_code": "US",
            "telephone_number": "562-933-1550",
            "fax_number": "562-933-8088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Health Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018679",
            "country_code": "US",
            "telephone_number": "540-432-8950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Marshall Way",
            "address_purpose": "LOCATION",
            "city": "Placerville",
            "state": "CA",
            "postal_code": "956676533",
            "country_code": "US",
            "telephone_number": "530-626-2613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Salem Woodstown Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NJ",
            "postal_code": "080792064",
            "country_code": "US",
            "telephone_number": "856-339-6054",
            "fax_number": "856-935-6714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St # 556",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISSINNE",
        "first_name": "EDWARD",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A181756",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101284837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.