CORRECTIONAL MEDICAL IMAGING, INC. (NPI# 1487012142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487012142 |
| Entity Type | Organization |
| Organization Name | CORRECTIONAL MEDICAL IMAGING, INC. |
| Practice Address |
1001 Southwest Blvd Ste C Jefferson City MO 65109-2501 |
| Mailing Address |
2713 Industrial Dr Ste A Jefferson City MO 65109-6705 |
| Practice Telephone | 5736347155 |
| Practice Fax Number | 5736343349 |
| Mailing Telephone | 5736347155 |
| Mailing Fax Number | 5736343349 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | DR. DONALD K MCNUTT (PRESIDENT) |
| Authorized Official Telephone | 5736594186 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R7J08 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477818698 | Correctional Medical Imaging, Inc. | Radiology | 2713 Industrial Dr Ste C, Jefferson City, MO 65109-6705 | 2012-07-13 |
| Street Address |
1001 SOUTHWEST BLVD STE C |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| 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 |
|---|---|---|---|---|
| 1477818698 | Correctional Medical Imaging, Inc. | Radiology | 2713 Industrial Dr Ste C, Jefferson City, MO 65109-6705 | 2012-07-13 |
| 1568621175 | Advanced Radiology of Jefferson City, LLC | Radiology | 3218 W Edgewood Dr Ste 200, Jefferson City, MO 65109-6951 | 2008-06-09 |
| 1114025079 | Donald K Mcnutt | Radiology | 2713 Industrial Dr, Suite C, Jefferson City, MO 65109-6705 | 2006-09-21 |
| 1700043791 | Capital Region Medical Center | Radiology | 1125 Madison St, Jefferson City, MO 65102-5227 | 2008-05-19 |
| 1366508327 | Jefferson City Medical Group, P.C. | Radiology | 1241 W Stadium Blvd, Lower Level, Jefferson City, MO 65109-6023 | 2006-12-27 |
| 1558455196 | Mitchell Teruichi Godbee | Radiology | 1125 Madison St, Jefferson City, MO 65101-5227 | 2006-10-03 |
| 1861583544 | Marcus Jerome Wade | Radiology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2006-09-27 |
| 1508964479 | Denzil J. Hawes-davis | Radiology | 1125 Madison St, Jefferson City, MO 65101-5227 | 2006-09-21 |
| 1235238056 | Missouri Medical Imaging, Inc. | Radiology | 1125 Madison St, Jefferson City, MO 65101-5227 | 2006-09-21 |
| 1649378597 | Dennis C Luetkemeyer | Radiology | 1705 Christy Dr, Suite #104, Jefferson City, MO 65101-5195 | 2006-09-21 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.