VISIONARY IMAGING LLC (NPI# 1700881851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700881851 |
| Entity Type | Organization |
| Organization Name | VISIONARY IMAGING LLC |
| Practice Address |
1100 N Kentucky Ave West Plains MO 65775-2029 |
| Mailing Address |
6245 Lemay Ferry Rd Saint Louis MO 63129-2805 |
| Practice Telephone | 8003541088 |
| Practice Fax Number | 3146314491 |
| Mailing Telephone | 8003541088 |
| Mailing Fax Number | 3148455669 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | THOMAS R FRENZ (MANAGING MEMBER/OWNER) |
| Authorized Official Telephone | 8882759737 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
========= | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 509368601 | 05 | |
| TX | MEDICARE RAILROAD | DG3823 | 01 |
| AR | 161149002 | 05 | |
| MO | MEDICARE RAILROAD | DF5867 | 01 |
| IL | MEDICARE RAILROAD | DF5273 | 01 |
| OK | 200063580A | 05 | |
| OK | MEDICARE RAILROAD | DE0857 | 01 |
| TX | 186488601 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | VISIONARY IMAGING LLC | 152 Lemey Ferry Rd Ste 301, Saint Louis, MO 63125 |
| Street Address |
1100 N KENTUCKY AVE |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559636 | Chandra Steed | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-08-18 |
| 1144849845 | Danielle M Gregory | Physical Therapy Assistant | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-04-13 |
| 1447887708 | Cassidy Jones | Occupational Therapist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-03-26 |
| 1710517727 | Patrick Lynn Peck | Counselor | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-01-17 |
| 1699334649 | John Robert Piatt | Physician Assistant | 1100 N Kentucky Ave, West Plains, MO 65775 | 2019-06-12 |
| 1346723210 | Sarah Barnhill | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-09-07 |
| 1306324322 | Bradyn Alexis Sharp | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-08-01 |
| 1386120558 | Brittany Walsh | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-07-11 |
| 1265928527 | Lindsey Nicole Butz | Physical Therapist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-07-10 |
| 1477044162 | Misty Leeanne Denevan | Registered Nurse | 1100 N Kentucky Ave, West Plains, MO 65775 | 2018-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| 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 |
|---|---|---|---|---|
| 1417022781 | Kailash C Tarneja | Radiology | 3102 Independence Square, West Plains, MO 65775-4235 | 2006-11-22 |
| 1043250301 | Charles E Longmoor | Radiology | 1100 Kentucky Avenue, West Plains, MO 65775 | 2006-06-07 |
| 1194890467 | Charles R Armstrong | Radiology | 3102 Independence Square, West Plains, MO 65775-4235 | 2006-11-22 |
| 1407921406 | West Plains Imaging LLC | Radiology | 3102 Independence Square, West Plains, MO 65775-4235 | 2006-11-22 |
| 1669565552 | Jerry Donald Howard Jr. | Radiology | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2006-10-02 |
| 1437133733 | Beth Ann Cooper | Radiology | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013534049 | Innovative Medical Solutions, Inc. | Radiology | 4218 Roanoke Rd Ste 304, Kansas City, MO 64111-4996 | 2020-06-25 |
| 1568092120 | Jeffrey Francis Schaffer | Radiology | 918 W Laurel Rd, Joplin, MO 64801-1052 | 2020-01-23 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1275028136 | Austin Fletcher | Radiology | University Hospital One Hospital Drive, Department of Radiology Dc 069.10, Columbia, MO 65212-0001 | 2018-06-24 |
| 1578086310 | Missouri Telerad LLC | Radiology | 5117 South Neffleton Avenue, Springfiled, MO 65810 | 2017-07-24 |
| 1316467046 | Philip Silva | Radiology | 1 Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2017-06-23 |
| 1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| 1023462439 | Robert Michael Robbins | Radiology | 1 Hospital Drive Columbia Mo 65212, Columbia, MO 65212-4973 | 2016-04-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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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.