XRC MEDICAL IMAGING, LLC (NPI# 1609829720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609829720 |
| Entity Type | Organization |
| Organization Name | XRC MEDICAL IMAGING, LLC |
| Practice Address |
53940 Carmichael Dr South Bend IN 46635-1564 |
| Practice Telephone | 5742430100 |
| Practice Fax Number | 5742432965 |
| Mailing Telephone | 5742430100 |
| Mailing Fax Number | 5742432965 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT J. RUST (MEMBER) |
| Authorized Official Telephone | 5742333123 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | XRC MEDICAL IMAGING, LLC | 600 1st Source Bank Center 100 N Michigan, South Bend, IN 46601 |
| Street Address |
53940 CARMICHAEL DR |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46635-1564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526589 | Rebecca Ann Chilcote | Occupational Therapy Assistant | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-10-18 |
| 1649886490 | Marilyn Ross | Physical Therapist | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-09-17 |
| 1336755180 | Judith Stayback | Physical Therapy Assistant | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-09-17 |
| 1467068403 | Alexandra Rae Lertola | Speech-Language Pathologist | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-09-16 |
| 1598371478 | Erica Doyle | Speech-Language Pathologist | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-09-16 |
| 1134735061 | Angela Snyder | Physical Therapist | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-09-16 |
| 1508474636 | Saint Joseph Regional Medical Center South Bend Campus Inc | Clinic/Center | 53940 Carmichael Dr, South Bend, IN 46635-1564 | 2020-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295078228 | Michael Pfeiffer | Otolaryngology | 6301 University Commons Ste 360, South Bend, IN 46635 | 2013-03-27 |
| 1679833438 | Whitney Moore | Physical Therapy Assistant | 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 | 2012-05-25 |
| 1992917637 | Elly May Wynia | Social Worker | 53700 Generations Drive, Suite 200, South Bend, IN 46635 | 2007-05-04 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1750502878 | Tyrone Arteese Armstead | Pharmacist | 3355 Douglas Rd, South Bend, IN 46635 | 2007-05-02 |
| 1013033794 | Bradley Richard Swanson | Dentist | 54505 26th Street, Unit E, South Bend, IN 46635 | 2007-03-22 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1346300365 | Chad Fulton Harrington | Dentist | 3340 Douglas Rd., South Bend, IN 46635 | 2006-12-11 |
| 1346313236 | Dr Shawn R Long Dds PC | Dentist | 16329 State Rd 23, South Bend, IN 46635 | 2006-11-16 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| Find all providers in zip 46635 | ||||
| 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 |
|---|---|---|---|---|
| 1598093718 | Vpa PC | Radiology | 5838 West Brick Road, Ste. 106, South Bend, IN 46628-8420 | 2009-11-29 |
| 1659321545 | Sandra C Roland | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2006-05-11 |
| 1942778659 | Allied Imaging Center, LLC | Radiology | 6301 University Commons Ste 370, South Bend, IN 46635-3501 | 2018-11-12 |
| 1780012682 | Vpa PC | Radiology | 5838 W Brick Rd, South Bend, IN 46628-8423 | 2013-10-31 |
| 1518304898 | Lyndsay Alexandra Oancea | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2013-05-28 |
| 1295991081 | Peter D. Miller | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2008-08-01 |
| 1700048923 | Jonathan Michael Mccrea | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2008-06-29 |
| 1588832232 | Kristine Marie Hatcher | Radiology | 211 N Eddy St, South Bend, IN 46617-2808 | 2008-02-15 |
| 1124054036 | Stan W Pniewski | Radiology | 800 Alder St, South Bend, WA 98586 | 2006-06-23 |
| 1912942061 | Polya Baghelai | Radiology | 211 N Eddy St, South Bend, IN 46617-3096 | 2006-06-20 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46635 |
Please comment or provide details below to improve the information on XRC MEDICAL IMAGING, LLC.
| 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.