East Beltline Imaging PLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

HS062163 Issued in MI

Legal business name

EAST BELTLINE IMAGING PLC

Practice address

3210 Eagle Run Dr NE
Grand Rapids, MI 49525-7051

Phone

(616) 301-7500

Fax

(616) 301-3606

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Megan Taratuta, PACNPI 1619119393

Title

Office Manager

Phone

(616) 456-9553

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 5

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.

• Tejinder S. Mander, M.D.

  • Cardiovascular Disease Physician
  • Greenville, MI
  • NPI 1740265701

  Specialist

  Medicare reassignment Care Compare group NPD
• Jose Antonio Rios Salcido, M.D.

  • Cardiovascular Disease Physician
  • Grand Rapids, MI
  • NPI 1932582194
  Medicare reassignment Care Compare group NPD
• Harvinder Paul Singh, M.D.

  • Cardiovascular Disease Physician
  • Grand Rapids, MI
  • NPI 1861495558

  Specialist

  Medicare reassignment Care Compare group NPD
• Megan A Taratuta, P.A.

  • Medical Physician Assistant
  • Grand Rapids, MI
  • NPI 1619119393
  NPD Authorized official
• Rachel Elizabeth Lafrance, PA

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1396556619
  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1891881066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 EAGLE RUN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257051",
            "telephone_number": "616-301-7500",
            "fax_number": "616-301-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 EAGLE RUN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257051",
            "telephone_number": "616-301-7500",
            "fax_number": "616-301-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BELTLINE IMAGING PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "TARATUTA",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-456-9553",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "HS062163",
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700D115760",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "32885",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kari Earl
• Nicole M Earl, PA-C
• Stephanie Earley
• Amy Marie Easey, ASSOCIATES DEGREE
• Danielle Marie Eason, LMSW
• East Paris Dental Professionals PLC
• East Paris Internal Medicine Associates P.C
• East Paris Pharmacy Inc.
• East Paris Surgical Center, LLC
• Luke Eastburg, MD

• Specialist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.