Active NPI
Ohio Imaging Centers Inc
- Diagnostic Radiology Physician
- Conneaut, OH
National Provider Identifier
1821264797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- OHIO IMAGING CENTERS INC
- Practice address
- 158 W Main Rd
Conneaut, OH 44030-2039 - Phone
- (330) 677-3632
- Fax
- (330) 677-8770
- NPI assigned
- May 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert J Cook, MD
- Title
- President
- Phone
- (330) 677-3632
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
158 W Main Rd
Conneaut, OH 44030-2039
Mailing address
1930 State Route 59
Kent, OH 44240-4112
Phone (330) 677-3632
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2340836 | Medicaid | OH | |
| 2312581 | Medicaid | OH | |
| 2312689 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Ohio Imaging Centers Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Richmond HTS, OH
- NPI 1619142890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1821264797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 STATE ROUTE 59",
"city": "KENT",
"state": "OH",
"postal_code": "442404112",
"telephone_number": "330-677-3632",
"fax_number": "330-677-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 W MAIN RD",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440302039",
"telephone_number": "330-677-3632",
"fax_number": "330-677-8770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO IMAGING CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-677-3632",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2340836",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2312581",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2312689",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conneaut, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.