NPIMap

Organization Active NPI

Millennium Radiology Inc

  • Diagnostic Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1912908849
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MILLENNIUM RADIOLOGY INC
Practice address
4983 Delhi Ave
Suite 6
Cincinnati, OH 45238-5380
Phone
(513) 347-7237
Fax
(513) 347-6567
NPI assigned
Aug 2, 2005
Last updated
May 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Pamela E Zipperer-Davis
Title
Ceo
Phone
(513) 347-7237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

4983 Delhi Ave
Suite 6
Cincinnati, OH 45238-5380

Mailing address

PO Box 636298
Cincinnati, OH 45263-6298
Phone (513) 347-7237

Other identifiers 4

IdentifierTypeStateIssuer
200424180AMedicaidIN
65939209MedicaidKY
2664077MedicaidOH
2335324MedicaidOH

Other names 1

  • MT AIRY MEDICAL IMAGING INC Former legal business name

National Provider Directory

National Provider Directory

Locations

4983 Delhi Rd
Ste 6
Cincinnati, OH 45238
Phone (513) 347-7237

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1912908849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636298",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636298",
            "telephone_number": "513-347-7237",
            "fax_number": "513-347-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4983 DELHI AVE",
            "address_2": "SUITE 6",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452385380",
            "telephone_number": "513-347-7237",
            "fax_number": "513-347-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "ZIPPERER-DAVIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-347-7237"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200424180A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65939209",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2664077",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2335324",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MT AIRY MEDICAL IMAGING INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.