MIDWEST RADIOLOGY AND IMAGING PC (NPI# 1720081524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720081524 |
| Entity Type | Organization |
| Organization Name | MIDWEST RADIOLOGY AND IMAGING PC |
| Practice Address |
1200 1st Ave E Spencer IA 51301-4342 |
| Practice Telephone | 7122627511 |
| Practice Fax Number | 7122623658 |
| Mailing Telephone | 7122627511 |
| Mailing Fax Number | 7122623658 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2009-08-31 |
| Authorized Official Name | DR. CHARLES ALLEN CROUCH (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 7122627511 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RAILROAD MEDICARE | CN6278 | 01 |
| Street Address |
1200 1ST AVE E |
| City | SPENCER |
| State | IA |
| Zip Code | 51301-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478173 | Deanne Sue Hoger | Registered Nurse | 1200 1st Ave E, Spencer, IA 51301-4342 | 2020-08-17 |
| 1922642552 | Kayla Vanderhoff | Nurse Practitioner | 1200 1st Ave E, Spencer, IA 51301-4342 | 2019-11-06 |
| 1982259214 | Samantha Sheffield | Registered Nurse | 1200 1st Ave E, Spencer, IA 51301-4342 | 2019-08-05 |
| 1780142372 | Keith E Begeman | Nurse Anesthetist, Certified Registered | 1200 1st Ave E, Spencer, IA 51301-4342 | 2019-03-04 |
| 1316432826 | Spencer Municipal Hospital | Orthopaedic Surgery | 1200 1st Ave E, Spencer, IA 51301-4330 | 2018-06-27 |
| 1700383171 | John Sherrill | Student in an Organized Health Care Education/Training Program | 1200 1st Ave E, Spencer, IA 51301-4342 | 2018-04-11 |
| 1528579141 | Spencer Municipal Hospital | Nurse Practitioner | 1200 1st Ave E, Spencer, IA 51301-4342 | 2017-10-23 |
| 1982113163 | Spencer Municipal Hospital | Non-Pharmacy Dispensing Site | 1200 1st Ave E, Spencer, IA 51301-4342 | 2017-09-20 |
| 1548782964 | Laura Ann Armstrong | Hospitalist | 1200 1st Ave E, Spencer, IA 51301-4330 | 2017-07-07 |
| 1154860591 | Tessa Rockwell | Physical Therapist | 1200 1st Ave E, Spencer, IA 51301-4330 | 2017-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331877 | Angie Marie Wigen | Occupational Therapy Assistant | 1202 11 Th Ave Se, Spencer, IA 51301 | 2018-10-12 |
| 1184040511 | Leisha Fischer | Nurse Practitioner | 116 East 7th Street, Suite 2, Spencer, IA 51301 | 2014-03-10 |
| 1427482199 | Mark Alan De Ruyter | Social Worker | 116 E. 11th St., Spencer, IA 51301 | 2013-08-29 |
| 1467894873 | Daniel Wesley Abbott | Pathology | 116 E 11th St Ste 204, Spencer, IA 51301 | 2013-07-26 |
| 1730437542 | Spencer Convenient Healthcare LLC | Clinic/Center | 116 E. 7th Street, Suite 2, Spencer, IA 51301 | 2012-08-28 |
| 1114065109 | David W Lawrence | Audiologist-Hearing Aid Fitter | 920 North Grand Ave., Spencer, IA 51301 | 2007-02-02 |
| 1548328925 | Burns Chiropractic Center P C | Chiropractor | 1210 West 18th St, Spencer, IA 51301 | 2006-12-05 |
| 1073692661 | Gary Vanhofwegen | Dentist | 18 West 4th St, Spencer, IA 51301 | 2006-11-03 |
| 1952494114 | Medicap Pharmacy | Pharmacy | 829 Grand Ave N, Spencer, IA 51301 | 2006-10-02 |
| 1326131012 | Douglas J Schwartz | Chiropractor | 1204 West 18th St, Spencer, IA 51301 | 2006-10-02 |
| Find all providers in zip 51301 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003931429 | Integrated Health Care Providers | Clinic/Center | 300 Hospital Dr, Spencer, WV 25276-1049 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523095 | Womens Care Specialists PC | Clinic/Center | 4480 Utica Ridge Rd Ste 140, Bettendorf, IA 52722-1637 | 2020-03-19 |
| 1356846414 | Iowa Dermatology Clinic Plc | Clinic/Center | 3053 8th Street, Suite 200, Altoona, IA 50009 | 2018-03-29 |
| 1740671387 | True Lifestyle Medicine Clinic, LLC | Clinic/Center | 2320 Windsor Ct, Davenport, IA 52807-1438 | 2015-02-17 |
| 1225462260 | Mercy Clinics, Inc | Clinic/Center | 1601 Nw 114th St Ste 240, Clive, IA 50325-7036 | 2013-08-27 |
| 1336408640 | Healthsource of Iowa City, PC | Clinic/Center | 960 S 1st Ave, Iowa City, IA 52245-5210 | 2012-05-07 |
| 1790069243 | Infectious Disease Physicians of Iowa City | Clinic/Center | 540 E Jefferson St Ste 306, Iowa City, IA 52245-2479 | 2011-10-03 |
| 1558520817 | Womens Care Specialists PC | Clinic/Center | 507 S Fourth St, Clinton, IA 52732-0000 | 2008-06-03 |
| 1790950590 | Ball Clinic of Chiropractic P.l.c. | Clinic/Center | 622 N Linn Ave, New Hampton, IA 50659-1236 | 2008-04-23 |
| 1770555971 | Moran Eye Center PC | Clinic/Center | 2001 Hamilton Blvd, Ste D, Sioux City, IA 51104 | 2006-02-02 |
| 1952908956 | Darbie Little-cooper, Pllc | Clinic/Center | 1570 S 1st Ave, Iowa City, IA 52240-6012 | 2020-10-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MIDWEST RADIOLOGY AND IMAGING PC.
| 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.