NPIMap

Organization Active NPI

Shipley's Imaging, LLC

  • Diagnostic Radiology Physician
  • Millersville, MD
National Provider Identifier
1861476343
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ACR 13107 Issued in MD
Legal business name
SHIPLEY'S IMAGING, LLC
Practice address
8601 Veterans Hwy
Suite 100
Millersville, MD 21108-1547
Phone
(410) 729-4451
Fax
(410) 729-4470
NPI assigned
Nov 30, 2005
Last updated
Jul 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Ms. Karen M Scott
Title
Executivde Director
Phone
(443) 481-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ACR 13107 MD Primary

Addresses

Primary practice location

8601 Veterans Hwy
Suite 100
Millersville, MD 21108-1547

Mailing address

Shipley's Imaging, LLC
PO Box 404442
Atlanta, GA 30384-4442
Phone (804) 756-5130

Other identifiers 5

IdentifierTypeStateIssuer
CN6292OtherRAILROAD MEDICARE
110800000MedicaidMD
147397700OtherMDFEDERAL WORKMAN'S COMP
3811OtherDCCAREFIRST BCBS
KC46SHOtherMDCAREFIRST

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 85

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.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1861476343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SHIPLEY'S IMAGING, LLC",
            "address_2": "PO BOX 404442",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303844442",
            "telephone_number": "804-756-5130",
            "fax_number": "804-672-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VETERANS HWY",
            "address_2": "SUITE 100",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081547",
            "telephone_number": "410-729-4451",
            "fax_number": "410-729-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPLEY'S IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVDE DIRECTOR",
        "authorized_official_telephone_number": "443-481-5335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "ACR 13107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN6292",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110800000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKMAN'S COMP",
            "identifier": "147397700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "3811",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "KC46SH",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.