SONOGRAPHIC IMAGES, INC (NPI# 1235246109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235246109 |
| Entity Type | Organization |
| Organization Name | SONOGRAPHIC IMAGES, INC |
| Other Organization Name | SONOGRAPHIC IMAGES, INC |
| Practice Address |
1021 W 5th Ave Gary IN 46402-1703 |
| Mailing Address |
1021 W 5th Ave 221 Gary IN 46402-1703 |
| Practice Telephone | 2198364702 |
| Practice Fax Number | 7088089755 |
| Mailing Telephone | 2198364702 |
| Mailing Fax Number | 7088089755 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2012-03-15 |
| Authorized Official Name | MS. WANDA LOGAN (CEO/OWNER) |
| Authorized Official Telephone | 2198364702 |
| Authorized Official Credential | R.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
156765 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 0001618757 | 01 |
| IN | 100022050A | 05 |
| Other Name | Type Code |
|---|---|
| Sonographic Images, Inc | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SONOGRAPHIC IMAGES, INC. | 9245 Calumet Ave. Suite 106, Munster, IN 46321 |
| Street Address |
1021 W 5TH AVE |
| City | GARY |
| State | IN |
| Zip Code | 46402-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801863972 | Cynthia M Hoess | Pediatrics | 1021 W 5th Ave, Gary, IN 46402-1703 | 2006-03-07 |
| 1154934446 | Charmi Solanki | Dentist | 1021 W 5th Ave, Gary, IN 46402-1703 | 2020-08-26 |
| 1326670894 | Betty Nakitende | Pharmacist | 1021 W 5th Ave, Gary, IN 46402-1703 | 2020-02-12 |
| 1629469234 | Adaobi Ogonuwe | Nurse Practitioner | 1021 W 5th Ave, Gary, IN 46402-1703 | 2015-02-18 |
| 1750606059 | Kool Smiles In-3, PC | Dentist | 1021 W 5th Ave, Gary, IN 46402-1703 | 2010-03-30 |
| 1720218696 | Quinn West | Nurse Practitioner | 1021 W 5th Ave, Gary, IN 46402-1703 | 2009-07-24 |
| 1245301654 | Taryn Yolanda Eastland | Nurse Practitioner | 1021 W 5th Ave, Gary, IN 46402-1703 | 2006-11-10 |
| 1346346665 | Valerie Jean Royal | Nurse Practitioner | 1021 W 5th Ave, Gary, IN 46402-1703 | 2006-09-15 |
| 1043323470 | Bayne W Spotwood | Family Medicine | 1021 W 5th Ave, Gary, IN 46402-1703 | 2006-08-17 |
| 1225141427 | Steve Simpson | Specialist | 1021 W 5th Ave, Gary, IN 46402-1703 | 2006-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154417 | Edgewater Systerms for Balanced Living | Community/Behavioral Health | 1106 West 6 Th Avenue, Gary, IN 46402 | 2015-09-23 |
| 1447642772 | Michael Pirtle | Counselor | 1100 W. Fifth Ave, Gary, IN 46402 | 2015-02-24 |
| 1356748370 | Peter F Uchman | Social Worker | 1100 W. 6th Ave., Gary, IN 46402 | 2014-11-20 |
| 1295142594 | Demetria A Macon | Counselor | 1100 W. 6th Ave, Gary, IN 46402 | 2014-07-18 |
| 1396952503 | 21st Century Charter School At Gary | Local Education Agency (LEA) | 556 W Washington, Gary, IN 46402 | 2007-05-17 |
| 1609094630 | Jomon Mathew | Physical Therapist | 353 Tyler St, Gary, IN 46402 | 2007-04-23 |
| 1376677138 | Kovilparambil Xavier Antony | Psychiatry & Neurology | 1100 W 6th Avenue, Gary, IN 46402 | 2007-03-15 |
| 1588759013 | Waltee Douglas | Psychologist | 667 Van Buren, Gary, IN 46402 | 2006-10-03 |
| 1851332514 | Thessa Grace Robertson | Emergency Medicine | 600 Grant Street, Gary, IN 46402 | 2006-06-10 |
| 1932672888 | The Methodist Hospitals, Inc | Pharmacy | 600 Grant St, Gary, IN 46402 | 2019-01-03 |
| Find all providers in zip 46402 | ||||
| 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. |
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| 1588295448 | Hassan Sawaf | Radiology | 1411 S Creasy Ln Ste 130, Lafayette, IN 47905-7433 | 2020-01-30 |
| 1326695479 | Proscan Imaging of Greenwood, LLC | Radiology | 965 Emerson Pkwy Ste E, Greenwood, IN 46143-6274 | 2019-08-23 |
| 1598235566 | A Mri, LLC | Radiology | 7301 N Shadeland Ave Ste 1d, Indianapolis, IN 46250-2085 | 2018-12-03 |
| 1033686639 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 220, Greenwood, IN 46143-8569 | 2018-11-01 |
| 1689141285 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 351, Greenwood, IN 46143-8569 | 2018-11-01 |
| 1598232241 | Franciscan Physician Network | Radiology | 1703 W Stones Crossing Rd # 350, Greenwood, IN 46143-8569 | 2018-10-31 |
| 1821571399 | Premier Medical Imaging LLC | Radiology | 2855 Miller Dr Ste 113, Plymouth, IN 46563-8091 | 2018-09-11 |
| 1922594225 | Lutheran Health Imaging LLC | Radiology | 1700 Alber St Ste 103, Wabash, IN 46992-1015 | 2018-07-10 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1093166274 | Medical Scanning Consultants, P.a. | Radiology | 3802 W Industrial Blvd, Suite 4, Bloomington, IN 47403-5141 | 2016-06-28 |
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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.