WEST IMAGING, LLC (NPI# 1053311399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053311399 |
Entity Type | Organization |
Organization Name | WEST IMAGING, LLC |
Other Organization Name | MINNEAPOLIS RADIOLOGY-ROBBINSDALE |
Practice Address |
3366 Oakdale Ave N Ste 401 Robbinsdale MN 55422-2986 |
Mailing Address |
2955 Xenium Ln N Suite 40 Plymouth MN 55441-2666 |
Practice Telephone | 7635592171 |
Practice Fax Number | 7633986601 |
Mailing Telephone | 7635592171 |
Mailing Fax Number | 7633988701 |
Enumeration Date | 2005-07-28 |
Last Update Date | 2019-11-13 |
Authorized Official Name | KRISTEN CARLSON (CREDENTIALING) |
Authorized Official Telephone | 7635592171 |
Is Organization Subpart | Y |
Parent Organization Name | WEST IMAGING, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
37855 | MN | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
37855 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 311L01MI | 01 | |
MN | 32543300 | 05 | |
MEDICA | 1603353 | 01 | |
MN | 325433000 | 05 |
Other Name | Type Code |
---|---|
Minneapolis Radiology-Robbinsdale | Doing Business As Name - Organization |
Street Address |
3366 OAKDALE AVE N STE 401 |
City | ROBBINSDALE |
State | MN |
Zip Code | 55422-2986 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992955751 | Akilan Selvaraju | Internal Medicine | 3366 Oakdale Ave N Ste 401, Robbinsdale, MN 55422-2986 | 2008-09-29 |
1255504080 | Sean Patrick Stoy | Internal Medicine | 3366 Oakdale Ave N Ste 401, Robbinsdale, MN 55422-2986 | 2008-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
Find all providers in zip 55422 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104018324 | Andrew James Frager | Radiology | 3400 Meridian Dr, Robbinsdale, MN 55422-3747 | 2007-08-11 |
1134154891 | Andrew J Ruppert | Radiology | 3300 Oakdale Avenue North, Robbinsdale, MN 55422 | 2006-07-11 |
1922119213 | Alexander C W Lai | Radiology | 3300 Oakdale Avenue North, Robbinsdale, MN 55422 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457967234 | Central Imaging LLC | Radiology | 3351 Roosevelt Rd, Saint Cloud, MN 56301-6270 | 2020-09-17 |
1053930578 | Dmitriy Shchegolev | Radiology | 14346 Wilson Dr, Eden Prairie, MN 55347-4179 | 2020-04-14 |
1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
1861904765 | Stephanie Dykema | Radiology | 6809 Sandlewood Rd, Woodbury, MN 55125-2175 | 2017-10-31 |
1609392349 | Rai Keystone Imaging Services, LLC | Radiology | 5775 Wayzata Blvd Ste 400, St Louis Park, MN 55416-1271 | 2017-08-15 |
1235687088 | Jeffery E. Illman | Radiology | 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 | 2016-09-21 |
1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
1164765822 | Robben Andrew Schat | Radiology | 420 Delaware St Se - Mmc 292, Minneapolis, MN 55455-0341 | 2013-04-01 |
1326363102 | Gilda Boroumand | Radiology | 1901 Irving Ave S, Minneapolis, MN 55403-2824 | 2010-04-05 |
1477880276 | Siobhan Moira Flanagan | Radiology | Mmc 292,420 Delaware Street Se, University of Minnesota Department of Radiology, Minneapolis, MN 55455 | 2009-11-16 |
Find all providers with the same taxonomy |
City | ROBBINSDALE |
Zip Code | 55422 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.