Smi Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OTC4834 Issued in AZ

Legal business name

SMI IMAGING, LLC

Practice address

117 E Main St
BLDG D, Suite 100
Payson, AZ 85541-5293

Phone

(928) 468-8234

Fax

(928) 468-8290

NPI assigned

Sep 14, 2009

Last updated

Apr 4, 2011By 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

Howard J Simon, M.D.

Title

President

Phone

(480) 264-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SimonMed Imaging - Payson Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dignity Health

  dba Mercy Gilbert Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1851624506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7368",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928637368",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E MAIN ST",
            "address_2": "BLDG D, SUITE 100",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415293",
            "telephone_number": "928-468-8234",
            "fax_number": "928-468-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMI IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-264-2400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "OTC4834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "539692",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SimonMed Imaging - Payson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Herbert Arthur Schwager, PHD
• Diane M Scott, P.A.
• Alicia Sexton, PMHNP-BC
• Debra Shewey, LPC
• Sarah Marie Sieler, RDH
• Mark Robert Solem, M.D.
• Dawn L Soriano, M.A., NCSP
• Southwest Behavioral Health
• Southwest Behavioral Health
• Southwest Behavioral Health Services

• Diagnostic Radiology Physician in Payson, AZ
• Providers in Payson, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.