MH IMAGING-RACINE LLC (NPI# 1720422850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720422850 |
| Entity Type | Organization |
| Organization Name | MH IMAGING-RACINE LLC |
| Practice Address |
6800 Washington Ave Ste B Racine WI 53406-3951 |
| Mailing Address |
7600 75th St Ste 103 Kenosha WI 53142-7697 |
| Practice Telephone | 2623217970 |
| Practice Fax Number | 2623217995 |
| Mailing Telephone | 2627643426 |
| Mailing Fax Number | 2627643427 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2018-12-14 |
| Authorized Official Name | ADRIENNE KRACHEY (PROVIDER SUCCESS MANAGER) |
| Authorized Official Telephone | 2627643427 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 29922-20 | WI | Other Service Providers |
| Street Address |
6800 WASHINGTON AVE STE B |
| City | RACINE |
| State | WI |
| Zip Code | 53406-3951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043514391 | Donald M. Jacobson, Md Sc | Specialist | 3701 Durand Ave Ste 325, Racine, WI 53405-4480 | 2010-12-30 |
| 1376758300 | Lisa Friedrich | Specialist | 2309 Geneva St, Racine, WI 53402-4515 | 2007-05-12 |
| 1558389627 | Kevin Wayne Mccabe | Specialist | 1525 Howe St, Racine, WI 53403-2237 | 2006-07-17 |
| 1639156995 | Thomas P Bormes | Specialist | 3811 Spring Street, Suite 225, Racine, WI 53405-1667 | 2005-12-28 |
| 1558740530 | Jodi Mari Jensen | Specialist | 2206 N Main St, Racine, WI 53402-4448 | 2015-05-24 |
| 1003062282 | Advanced Pain Management | Specialist | 4216 Old Green Bay Rd, Racine, WI 53403-9486 | 2008-08-07 |
| 1285808147 | Alicia Coreen Mccarten | Specialist | 1100 Commerce Dr, Suite114, Racine, WI 53406-3700 | 2008-04-22 |
| 1689845505 | Douglas D. Hunter, M.d.llc | Specialist | 207 Fifth Street, Racine, OH 45771 | 2008-03-19 |
| 1154450807 | Judith Anne Warner | Specialist | 5439 Durand Ave, Racine, WI 53406-5058 | 2007-03-05 |
| 1689712143 | Harry Herman Lippman | Specialist | 3805b Spring St, Suite 220, Racine, WI 53405-1641 | 2007-02-04 |
| Find all providers in RACINE | ||||
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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.