MEDICAL DIAGNOSTIC IMAGING GROUP LTD (NPI# 1144490095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144490095 |
| Entity Type | Organization |
| Organization Name | MEDICAL DIAGNOSTIC IMAGING GROUP LTD |
| Practice Address |
2400 S Avenue A Yuma AZ 85364-7127 |
| Mailing Address |
Po Box 97641 Las Vegas NV 89193-7641 |
| Practice Telephone | 9283442000 |
| Practice Fax Number | 9283367210 |
| Mailing Telephone | 8556135393 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2014-07-02 |
| Authorized Official Name | MR. BARRY SADEGI (PRESIDENT) |
| Authorized Official Telephone | 6022462584 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780656876 | Medical Diagnostic Imaging Group Ltd | Radiology | 10835 N 25th Ave Ste 240, Phoenix, AZ 85029-3458 | 2006-02-03 |
| 1891047536 | Medical Diagnostic Imaging Group Ltd | Radiology | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2012-10-04 |
| 1174793947 | Medical Diagnostic Imaging Group Ltd | Radiology | 1800 E Florence Blvd, Casa Grande, AZ 85222-5303 | 2008-03-07 |
| Street Address |
2400 S AVENUE A |
| City | YUMA |
| State | AZ |
| Zip Code | 85364-7127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458182 | Rajesh S Khona | Anesthesiology | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2005-06-27 |
| 1235737594 | Briana Smith | Nurse Practitioner | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-10-09 |
| 1295343853 | Anne Paetra Flanagan | Nurse Practitioner | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-07-20 |
| 1215551023 | Miriam Alvarez | Advanced Practice Midwife | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-06-08 |
| 1174145304 | Marjorie Dina Bacon | Family Medicine | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-05-11 |
| 1720600950 | Lee Barnwell | Family Medicine | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2020-05-11 |
| 1306468582 | Mina Tawadrous | Family Medicine | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-05-11 |
| 1487276614 | Stephanie Donoso Clark | Family Medicine | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2020-05-11 |
| 1336775766 | Ashley Taylor Nickerson | Physician Assistant | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2020-03-17 |
| 1598397317 | Monica G. Lopez | Nurse Practitioner | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2020-02-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| 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 |
|---|---|---|---|---|
| 1073563854 | Advanced Radiology Healthcare LLC | Radiology | 2270 S Ridgeview Drive, Yuma, AZ 85364 | 2006-05-11 |
| 1558700716 | Nathan Matthew Wnuk | Radiology | 2400 S Avenue A, Yuma, AZ 85364-7170 | 2013-06-21 |
| 1255595518 | Orlando Augusto Micheli | Radiology | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2008-07-16 |
| 1508043100 | Diagnostic Radiology Providers Plc | Radiology | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2008-01-25 |
| 1326006586 | Traci Pritchard | Radiology | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2006-05-03 |
| 1003818873 | Thomas R. Cain | Radiology | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345783 | Susan Shotts | Radiology | 861 N Higley Rd Ste B101, Gilbert, AZ 85234-9602 | 2020-08-09 |
| 1841840188 | Smsj Imaging Company LLC | Radiology | 630 N Alvernon Way Ste 150, Tucson, AZ 85711-1844 | 2019-09-18 |
| 1417507765 | Smsj Imaging Company LLC | Radiology | 395 N Silverbell Rd Ste 185, Tucson, AZ 85745-2721 | 2019-09-18 |
| 1154971497 | Smsj Imaging Company LLC | Radiology | 400 W Camino Casa Verde Ste 200, Green Valley, AZ 85614-3569 | 2019-09-18 |
| 1740839786 | Smsj Imaging Company LLC | Radiology | 4892 N Stone Ave Ste 180, Tucson, AZ 85704-5761 | 2019-09-11 |
| 1689239824 | Thumb Butte Radiology, LLC | Radiology | 3120 Willow Creek Rd, Prescott, AZ 86301-6699 | 2019-05-02 |
| 1376017020 | Vpa PC | Radiology | 64 E Broadway Rd Ste 200231, Tempe, AZ 85282-1353 | 2019-01-16 |
| 1598243867 | Mdig of Florida, LLC | Radiology | 10835 N 25th Ave Ste 140, Phoenix, AZ 85029-3408 | 2018-07-30 |
| 1689182966 | Faca Vascular | Radiology | 1831 E Queen Creek Rd Ste 120, Chandler, AZ 85286-2019 | 2018-01-20 |
| 1265974836 | Teleradiology Specialists LLC | Radiology | 4813 E Piccadilly Rd, Phoenix, AZ 85018-5540 | 2016-11-13 |
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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.