Assured Imaging Women's Wellness of Southern Arizona, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ASSURED IMAGING WOMEN'S WELLNESS OF SOUTHERN ARIZONA, LLC

Doing business as

Assured Imaging Women's Wellness

Practice address

1400 Main St. SW Suite K
Los Lunas, NM 87031

Phone

(888) 233-6121

NPI assigned

Sep 3, 2008

Last updated

Oct 9, 2020By 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. Jin Kim

Title

Ceo

Phone

(312) 774-8828

Specialties & licenses 5

Addresses

Other names 1

• Assured Imaging Women's Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in NM3 enrollments

Enrollment records 3

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Assured Imaging Women's Wellness of Southern Arizona, LLC

  dba Assured Imaging Women's Wellness

  • Diagnostic Radiology Physician
  • Arlington, TX
  • NPI 1528566890

  5799880761

  Same PAC ID
• Assured Imaging Women's Wellness of Southern Arizona, LLC

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1932245974

  5799880761

  Same PAC ID
• Assured Imaging Womens Wellness of Southern Arizona LLC

  dba Assured Imaging Women's Wellness

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1043021298

  5799880761

  Same PAC ID

Practitioners 5

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.

• Steven Handler, DO

  • Diagnostic Radiology Physician
  • Tucson, AZ
  • NPI 1770544348
  NPD
• Rhonda Stewart, MD

  • Diagnostic Radiology Physician
  • Charlotte, NC
  • NPI 1346262532
  NPD
• Lloyd David Wagner, M.D.

  • Diagnostic Radiology Physician
  • Camden, NJ
  • NPI 1124161872
  NPD
• Elissa Marie Barfoot, CNM, FNP

  • Advanced Practice Midwife
  • Las Cruces, NM
  • NPI 1164780441
  NPD (past)
• James Paul Esposito, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1134399546
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1790933828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 N HARTMAN LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857439506",
            "telephone_number": "520-744-6121",
            "fax_number": "520-572-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MAIN ST. SW SUITE K",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "87031",
            "telephone_number": "888-233-6121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7717 N Hartman Ln",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857435800",
            "country_code": "US",
            "telephone_number": "520-744-6121",
            "fax_number": "520-572-7138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3530 Foothills Rd Ste I",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880113621",
            "country_code": "US",
            "telephone_number": "888-233-6121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSURED IMAGING WOMEN'S WELLNESS OF SOUTHERN ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-774-8828",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assured Imaging Women's Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Assured Imaging Women's Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ricki L Armstrong, FNP-C
• Rosa Hilda Arrieta, MA
• Louis T Asanga, RPH
• Darian Ashe, MOT
• Aspire Counseling
• Arianna Gloria Atkins-Delayo
• Atrinea Health LLC (Atrinea Health)
• Nicole Aurand-Andes
• Autism Behavior Consultants of the West (ABE Consultants of the West)
• Angela Baca

• Diagnostic Radiology Physician in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• Diagnostic Radiology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.