JOHNSON COUNTY IMAGING CENTER, INC (NPI# 1720135114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720135114 |
| Entity Type | Organization |
| Organization Name | JOHNSON COUNTY IMAGING CENTER, INC |
| Practice Address |
11717 W 112th St Overland Park KS 66210-2761 |
| Mailing Address |
8000 W 110th St Ste 150 Overland Park KS 66210-2382 |
| Practice Telephone | 9134698998 |
| Mailing Telephone | 9134698998 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2019-09-30 |
| Authorized Official Name | RICHARD MILLER (OWNER) |
| Authorized Official Telephone | 9135996777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100204610A | 05 | |
| RR MEDICARE | CS2471 | 01 |
| Other Name | Type Code |
|---|---|
| Johnson County Imaging Center, Inc | Former Legal Business Name - Organization |
| Street Address |
11717 W 112TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| 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 |
|---|---|---|---|---|
| 1346783008 | Saint Luke's Neighborhood Clinics, LLC | Radiology | 4061 Indian Creek Pkwy Ste 110, Overland Park, KS 66207-4030 | 2016-11-29 |
| 1528216090 | Jeffrey Tsai | Radiology | 6800 W. 138th Terrace, Apt 911, Overland Park, KS 66223-7816 | 2008-09-08 |
| 1992926406 | Christopher Mckinney | Radiology | 6650 W 110th St Ste 100, Overland Park, KS 66211 | 2007-05-01 |
| 1962543512 | Shawnee Mission Open Mri, LLC | Radiology | 8877 W 75th St, Overland Park, KS 66204-2206 | 2007-02-08 |
| 1922012574 | Thomas P Sweeney | Radiology | 4801 W 100th St, Ste 100, Overland Park, KS 66211 | 2006-07-28 |
| 1467466029 | Jay I Rozen | Radiology | 4801 West 100th Street, Suite 100, Overland Park, KS 66211 | 2006-07-28 |
| 1821012253 | Graham K Lee | Radiology | 4801 W 110th St, Ste 100, Overland Park, KS 66211-1347 | 2006-07-27 |
| 1619994381 | Donald R Germann | Radiology | 4801 West 100th St, Ste 100, Overland Park, KS 66211 | 2006-07-17 |
| 1992768683 | Regional Imaging, LLC | Radiology | 8000 College Blvd, Overland Park, KS 66210-1822 | 2006-04-11 |
| 1720059991 | Ralph Warren Richardson | Radiology | 8000 W 110th St Ste 150, Overland Park, KS 66210-2382 | 2006-01-27 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66210 |
Please comment or provide details below to improve the information on JOHNSON COUNTY IMAGING CENTER, INC.
| 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.