NPIMap

Organization Active NPI

Newark Health Imaging

  • Radiology Clinic/Center
  • Newark, OH
National Provider Identifier
1932155249
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
0690IC Issued in OH
Legal business name
NEWARK HEALTH IMAGING
Practice address
1990 Tamarack Rd
Newark, OH 43055-2304
Phone
(740) 788-9119
Fax
(740) 788-8435
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kelly Thomas
Title
Office Manager
Phone
(740) 788-9119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 0690IC OH Primary

Addresses

Primary practice location

1990 Tamarack Rd
Newark, OH 43055-2304

Mailing address

1990 Tamarack Rd
Newark, OH 43055-2304
Phone (740) 788-9119

Other identifiers 1

IdentifierTypeStateIssuer
2280115MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932155249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552304",
            "telephone_number": "740-788-9119",
            "fax_number": "740-788-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552304",
            "telephone_number": "740-788-9119",
            "fax_number": "740-788-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK HEALTH IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-788-9119"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "OH",
            "license": "0690IC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2280115",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.