Medford Radiological Group PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MEDFORD RADIOLOGICAL GROUP PC

Practice address

648 Chetco Ave
Brookings, OR 97415

Phone

(541) 412-2070

NPI assigned

Jul 15, 2010

Organization subpart

No

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

Authorized official

Name

Michael Troychak, MD

Title

President

Phone

(541) 773-2493

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Medford Radiological Group PC

  • Diagnostic Radiology Physician
  • Roseburg, OR
  • NPI 1285930545

  O20100604000059

  Same enrollment
• Medford Radiological Group PC

  • Diagnostic Radiology Physician
  • Bend, OR
  • NPI 1659813392

  O20100604000059

  Same enrollment
• Medford Radiological Group, PC

  • Diagnostic Radiology Physician
  • Medford, OR
  • NPI 1407938111

  O20100604000059

  Same enrollment

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1841503109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2947",
            "address_2": "UNIT 1001",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082947",
            "telephone_number": "559-455-4000",
            "fax_number": "770-776-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 CHETCO AVE",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "97415",
            "telephone_number": "541-412-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD RADIOLOGICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "TROYCHAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-773-2493",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William McDougall, DO
• Ashley McGehee
• Marissa Lynn McGhee, FNP-C
• Nickalas Mechtel
• Medford Open MRI, LLC
• Rebecca M Meek, WHNP
• MH Health Care Services, PC
• Jackie B Michael-Havens, NP
• Dawn Luicelle Mikulski
• Melissa Lynn Miller

• Diagnostic Radiology Physician in Brookings, OR
• Providers in Brookings, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.