NPIMap

Organization Active NPI

Midwest Radiological Associates PC

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1821013418
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12444 Issued in MO
Legal business name
MIDWEST RADIOLOGICAL ASSOCIATES PC
Practice address
3015 N Ballas Road
Missouri Baptist Medical Center
St Louis, MO 63131
Phone
(314) 548-4715
Fax
(314) 821-2180
NPI assigned
Jul 13, 2006
Last updated
Apr 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Christopher Thornton, MD
Title
President
Phone
(314) 548-4715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 12444 MO Primary

Addresses

Primary practice location

3015 N Ballas Road
Missouri Baptist Medical Center
St Louis, MO 63131

Mailing address

13209 Corporate Exchange Dr
Bridgeton, MO 63044-3721
Phone (314) 548-4715

Other identifiers 3

IdentifierTypeStateIssuer
90000352OtherBLUE SHIELD
508154606OtherILMCAID
508154606MedicaidMO

National Provider Directory

National Provider Directory

Locations

5 Memorial Dr
Alton, IL 62002
Phone (618) 433-6689

13209 Corporate Exchange Dr
Bridgeton, MO 63044

11133 Dunn Rd
Ste 1526
Saint Louis, MO 63136

11897 Benham Rd
Ste 102
Saint Louis, MO 63138
Phone (314) 355-9509

608 N Main St
Sikeston, MO 63801

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1821013418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13209 CORPORATE EXCHANGE DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630443721",
            "telephone_number": "314-548-4715",
            "fax_number": "866-302-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 N BALLAS ROAD",
            "address_2": "MISSOURI BAPTIST MEDICAL CENTER",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-548-4715",
            "fax_number": "314-821-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST RADIOLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-548-4715",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "12444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "90000352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCAID",
            "identifier": "508154606",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508154606",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.