Organization Active NPI

Grapevine Radiology Associates

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1821260225
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
GRAPEVINE RADIOLOGY ASSOCIATES
Practice address
708 Anneslie Rd
Baltimore, MD 21212-2001
Phone
(410) 377-0368
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Scott Woomer
Title
MD
Phone
(817) 488-7546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

708 Anneslie Rd
Baltimore, MD 21212-2001

Mailing address

PO Box 740968
Dallas, TX 75374-0968
Phone (800) 563-2964

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1821260225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740968",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753740968",
            "telephone_number": "800-563-2964",
            "fax_number": "903-453-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 ANNESLIE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122001",
            "telephone_number": "410-377-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "WOOMER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "817-488-7546"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.