Organization Active NPI

Shared Medical Imaging Inc

  • Radiologic Technologist
  • Warren, OH
National Provider Identifier
1861519993
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
200612500122 Issued in OH
Legal business name
SHARED MEDICAL IMAGING INC
Practice address
405 Niles Cortland Rd SE
Suite 102
Warren, OH 44484-2460
Phone
(330) 469-9985
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
David R Johnson
Title
Ceo
Phone
(330) 469-9985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 247100000X 200612500122 OH Primary

Addresses

Primary practice location

405 Niles Cortland Rd SE
Suite 102
Warren, OH 44484-2460

Mailing address

405 Niles Cortland Rd SE
Suite 102
Warren, OH 44484-2460
Phone (330) 469-9985

National Provider Directory

National Provider Directory

Locations

405 Niles Cortland Rd SE
Ste 102
Warren, OH 44484
Phone (330) 469-9985

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1861519993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NILES CORTLAND RD SE",
            "address_2": "SUITE 102",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842460",
            "telephone_number": "330-469-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NILES CORTLAND RD SE",
            "address_2": "SUITE 102",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842460",
            "telephone_number": "330-469-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARED MEDICAL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-469-9985"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": "OH",
            "license": "200612500122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.