NPIMap

Organization Active NPI

Isomm LLC

  • Diagnostic Radiology Physician
  • Mt Pleasant, MI
National Provider Identifier
1871886952
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ISOMM LLC
Doing business as
OPEN MRI MT PLEASANT
Practice address
211 S Crapo St
Ste H
Mt Pleasant, MI 48858-2961
Phone
(734) 677-7400
Fax
(734) 677-7407
NPI assigned
May 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Johannes Buiteweg, MD
Title
Partner
Phone
(989) 773-2081

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

211 S Crapo St
Ste H
Mt Pleasant, MI 48858-2961

Mailing address

PO Box 3701
Ann Arbor, MI 48106-3701
Phone (989) 773-2081

Other identifiers 1

IdentifierTypeStateIssuer
0C70065OtherMIBCBS GROUP

Other names 1

  • OPEN MRI MT PLEASANT Doing business as

National Provider Directory

National Provider Directory

Locations

211 S Crapo St
Ste H
Mt Pleasant, MI 48858
Phone (989) 773-2081

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1871886952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3701",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481063701",
            "telephone_number": "989-773-2081",
            "fax_number": "734-677-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CRAPO ST",
            "address_2": "STE H",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582961",
            "telephone_number": "734-677-7400",
            "fax_number": "734-677-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISOMM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "BUITEWEG",
        "authorized_official_first_name": "JOHANNES",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "989-773-2081",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0C70065",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPEN MRI MT PLEASANT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.