J. Ronald Anderssen

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

J. RONALD ANDERSSEN

Doing business as

Anderssen Mobile X-Ray Service

Practice address

14824 Clayton Rd
Suite 21
Chesterfield, MO 63017-7888

Phone

(636) 227-6878

Fax

(636) 227-7822

NPI assigned

Sep 27, 2007

Last updated

Dec 8, 2008By 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

J. Ronald Anderssen, R.T.NPI 1619961679

Title

Owner

Phone

(636) 227-6878

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Anderssen Mobile X-Ray Service Doing business as

Locations

Practitioners 1

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.

• J. Ronald Anderssen, R.T.

  • Radiologic Technologist
  • Chesterfield, MO
  • NPI 1619961679
  NPD (past) Authorized official

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1821285479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14824 CLAYTON RD",
            "address_2": "SUITE 21",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177888",
            "telephone_number": "636-227-6878",
            "fax_number": "636-227-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14824 CLAYTON RD",
            "address_2": "SUITE 21",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177888",
            "telephone_number": "636-227-6878",
            "fax_number": "636-227-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. RONALD ANDERSSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSSEN",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-227-6878",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711752105",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderssen Mobile X-Ray Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Meghan Jackson, OT
• Quiana Jackson, FNP
• Sarah Ruth Jackson, DNP
• Taylor Jackson, LCSW
• Daryl L Jacobs, MD

• Mobile Radiology Clinic/Center in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Mobile Radiology Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.