NPIMap

Organization Active NPI

Radiology Associates of Southwest Michigan, P.C.

  • Diagnostic Neuroimaging (Radiology) Physician
  • Ada, MI
National Provider Identifier
1811104102
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X
Legal business name
RADIOLOGY ASSOCIATES OF SOUTHWEST MICHIGAN, P.C.
Practice address
4710 N Catamount TRL NE
Ada, MI 49301-8653
Phone
(616) 365-0650
Fax
(616) 365-0659
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Bruce Hills, D.O.
Title
President
Phone
(616) 365-0650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Neuroimaging (Radiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085D0003X Primary

Addresses

Primary practice location

4710 N Catamount TRL NE
Ada, MI 49301-8653

Mailing address

4710 N Catamount TRL NE
Ada, MI 49301-8653
Phone (616) 365-0650

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811104102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 N CATAMOUNT TRL NE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018653",
            "telephone_number": "616-365-0650",
            "fax_number": "616-365-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 N CATAMOUNT TRL NE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018653",
            "telephone_number": "616-365-0650",
            "fax_number": "616-365-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF SOUTHWEST MICHIGAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILLS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-365-0650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.