DIAGNOSTIC IMAGING SPECIALISTS, P.A. (NPI# 1447271192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447271192 |
Entity Type | Organization |
Organization Name | DIAGNOSTIC IMAGING SPECIALISTS, P.A. |
Practice Address |
2019 S 6th St Brainerd MN 56401-4528 |
Practice Telephone | 2188224242 |
Practice Fax Number | 2188223758 |
Mailing Telephone | 2188224242 |
Mailing Fax Number | 2188223758 |
Enumeration Date | 2006-07-21 |
Last Update Date | 2020-08-22 |
Authorized Official Name | CHARLES BENSON (PRESIDENT) |
Authorized Official Telephone | 2188284242 |
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 |
---|---|---|---|
MN | PREFERRED ONE | 01010253 | 01 |
MN | UCARE | 172079 | 01 |
Street Address |
2019 S 6TH ST |
City | BRAINERD |
State | MN |
Zip Code | 56401-4528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518997758 | Robert O Posch | Radiology | 2019 S 6th St, Brainerd, MN 56401-4528 | 2006-07-04 |
1639648348 | St Joseph's Medical Center | Clinic/Center | 2019 S 6th St, Brainerd, MN 56401-4528 | 2018-11-26 |
1801089701 | Kari Messner | Radiology | 2019 S 6th St, Brainerd, MN 56401-4528 | 2007-08-23 |
1154536696 | Michael J Brickner | Radiology | 2019 S 6th St, Brainerd, MN 56401-4528 | 2007-05-10 |
1437182839 | Lakes Imaging LLC | Clinic/Center | 2019 S 6th St, Brainerd, MN 56401-4528 | 2006-07-09 |
1467483776 | James J O'hearn | Radiology | 2019 S 6th St, Brainerd, MN 56401-4528 | 2006-07-05 |
1447280698 | Ted W Olds | Radiology | 2019 S 6th St, Brainerd, MN 56401-4528 | 2006-07-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
Find all providers in zip 56401 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639648348 | St Joseph's Medical Center | Clinic/Center | 2019 S 6th St, Brainerd, MN 56401-4528 | 2018-11-26 |
1437182839 | Lakes Imaging LLC | Clinic/Center | 2019 S 6th St, Brainerd, MN 56401-4528 | 2006-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871006700 | Allina Health System | Clinic/Center | 3955 Parklawn Ave Ste 100, Edina, MN 55435-5660 | 2017-11-14 |
1740519933 | Mri School of Minnesota, LLC | Clinic/Center | 6053 Hudson Rd Ste 265, Woodbury, MN 55125-1000 | 2009-12-17 |
1093994030 | Children's Health Care | Clinic/Center | 2525 Chicago Ave. S., Minneapolis, MN 55404-4518 | 2007-10-26 |
1679601553 | Stand Up Mid America Mri, P.a. | Clinic/Center | 604 Lilac Dr N, Suite 100, Golden Valley, MN 55422-4610 | 2007-03-01 |
1184675670 | Cardiac Evaluation Services Inc | Clinic/Center | 8441 Wayzata Blvd, Golden Valley, MN 55426 | 2006-05-12 |
1629027594 | Suburban Radiologic Consultants, Ltd. | Clinic/Center | 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113-5511 | 2006-05-09 |
1194725044 | Arrowhead Consultation Service Ltd | Clinic/Center | 415 Se 13th St, Suite 101, Grand Rapids, MN 55744-4248 | 2005-07-21 |
1396748307 | Lifescan Minnesota LLC | Clinic/Center | 3955 Parklawn Ave, Ste 110, Edina, MN 55435-5657 | 2005-05-23 |
1154834091 | Noble Imaging Center, LLC | Clinic/Center | 4610 Oak Grove Pkwy N, Brooklyn Park, MN 55443-4062 | 2017-11-14 |
1538602008 | Us Health Imaging LLC | Clinic/Center | 8053 E Bloomington Fwy, Suite 450, Bloomington, MN 55420-4577 | 2016-11-30 |
Find all providers with the same taxonomy |
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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.