ADVANCED IMAGING S.C. (NPI# 1073592473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073592473 |
| Entity Type | Organization |
| Organization Name | ADVANCED IMAGING S.C. |
| Practice Address |
228 S 18th Ave Sturgeon Bay WI 54235-1000 |
| Practice Telephone | 9207469729 |
| Practice Fax Number | 9207469881 |
| Mailing Telephone | 9207469729 |
| Mailing Fax Number | 9207469881 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KURT G HARRIS (PRESIDENT) |
| Authorized Official Telephone | 9207469729 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32877400 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ADVANCED IMAGING SERVICES INC. | 6 Arrow Street, Selden, Ny 11784 |
| Indiana Business Entities | ADVANCED IMAGING SERVICES LLC | 1120 Professional Blvd., Evansville, IN 47714 |
| Oregon Corporations, Companies and Business Names | ADVANCED IMAGING SOLUTIONS LLC | 5514 Se 302nd Ave, Gresham, OR 97080 |
| System for Award Management (SAM) Entities | ADVANCED IMAGING SOLUTIONS, INC. | 9151 Interline Ave Ste 4a, Baton Rouge, LA 70809-1970 |
| Alabama Business Registrations | Advanced Imaging Solutions, LLC | 1300 Clydesdale Avenue, Anniston, AL 36201 |
| Oregon Corporations, Companies and Business Names | ADVANCED IMAGING SPECIALISTS, LLC | 842 E Main Street, Medford, OR 97504 |
| Indiana Business Entities | ADVANCED IMAGING SYSTEMS INC | 2200 Lake Av, Fort Wayne, IN 46805 |
| System for Award Management (SAM) Entities | ADVANCED IMAGING SYSTEMS, INC. | 10617 Southern Loop Blvd, Pineville, NC 28134-7381 |
| Indiana Business Entities | ADVANCED IMAGING SYSTEMS, INC. | 2414 East State Boulevard, Suite 200, Fort Wayne, IN 46805 |
| Street Address |
228 S 18TH AVE |
| City | STURGEON BAY |
| State | WI |
| Zip Code | 54235-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780292763 | Michelle Kathleen Shipp | Dentist | 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 | 2020-07-16 |
| 1417565482 | Rachel Walters Sizemore | Dentist | 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 | 2020-07-16 |
| 1497079784 | Door County Memorial Hospital | Clinic/Center | 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 | 2010-03-16 |
| 1902859721 | Kurt Gene Harris | Radiology | 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| 1578797684 | Rejuvenate Life Chiropractic, LLC | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235 | 2009-05-05 |
| 1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
| 1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
| 1609034297 | Laurie T Hoffman | Speech-Language Pathologist | 447 No 6th Ave, Sturgeon Bay, WI 54235 | 2008-05-30 |
| 1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
| 1558542910 | Katherine Ann Sperber | Hearing Instrument Specialist | 611d Jefferson, Sturgeon Bay, WI 54235 | 2007-11-14 |
| 1750572913 | Kristine M Matysiak | Physician Assistant | 323 S. 18th Avenue, Sturgeon Bay, WI 54235 | 2007-08-05 |
| 1215141841 | Eyes for You Inc | Technician/Technologist | 160 Cherry Point Mall, Sturgeon Bay, WI 54235 | 2007-05-10 |
| Find all providers in zip 54235 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649607623 | Touhy Diagnostic At Home LLC | Clinic/Center | 723 58th St, 304, Kenosha, WI 53140-4160 | 2013-10-04 |
| 1649435876 | Luck Medical Clinic | Clinic/Center | 137 1st Ave, Luck, WI 54853 | 2008-07-28 |
| 1215112966 | Mh Imaging-kenosha LLC | Clinic/Center | 1020 35th Street, Suite 120, Kenosha, WI 53140-1932 | 2007-12-31 |
| 1144392275 | St Mary's Dean Ventures Inc | Clinic/Center | 1313 Fish Hatchery Road, Madison, WI 53715 | 2006-11-14 |
| 1033121629 | Pediatric Diagnostic Imaging, S.c. | Clinic/Center | 8522 W Capitol Dr, Milwaukee, WI 53222-1827 | 2006-08-12 |
| 1528013992 | Open Mri of Delafield, LLC | Clinic/Center | 3960 Hillside Dr, Suite 106, Delafield, WI 53018-2148 | 2006-05-24 |
| 1184675506 | Cardiac Evaluation Services Inc | Clinic/Center | 2063 South 116th Street, Milwaukee, WI 53227 | 2006-05-12 |
| 1295784726 | Mcmc Radiology Services, LLC | Clinic/Center | 5310 W Capitol Dr, Milwaukee, WI 53216-2239 | 2006-05-10 |
| 1770540130 | Kenosha Radiology Center LLC. | Clinic/Center | 10117 74th St, Suite 150, Kenosha, WI 53142-7533 | 2006-04-28 |
| 1669865705 | Oakleaf Clinics Sc | Clinic/Center | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2015-03-13 |
| Find all providers with the same taxonomy | ||||
| City | STURGEON BAY |
| Zip Code | 54235 |
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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.