SMI IMAGING, LLC (NPI# 1730312901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730312901 |
| Entity Type | Organization |
| Organization Name | SMI IMAGING, LLC |
| Other Organization Name | SIMONMED IMAGING - GREENFIELD GUADALUPE |
| Practice Address |
2450 E Guadalupe Rd Ste 109 Gilbert AZ 85234-5116 |
| Mailing Address |
Po Box 7368 Orange CA 92863-7368 |
| Practice Telephone | 4802846019 |
| Practice Fax Number | 4806869315 |
| Mailing Telephone | 7145715000 |
| Mailing Fax Number | 7145715055 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2010-05-07 |
| Authorized Official Name | HOWARD J SIMON (PRESIDENT) |
| Authorized Official Telephone | 4802642400 |
| 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 |
OTC4705 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 473162 | 05 | |
| RAILROAD MEDICARE | P00811052 | 01 |
| Other Name | Type Code |
|---|---|
| SimonMed Imaging - Greenfield Guadalupe | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972004489 | Smi Imaging, LLC | Radiology | 6740 E Camelback Rd Ste 100, Scottsdale, AZ 85251-2096 | 2018-02-21 |
| 1124552120 | Smi Imaging, LLC | Clinic/Center | 2502 E Camelback Rd, 160, Phoenix, AZ 85016-4254 | 2017-04-17 |
| 1255870267 | Smi Imaging, LLC | Clinic/Center | 4219 E Bell Rd, Phoenix, AZ 85032-3366 | 2017-02-23 |
| 1841512407 | Smi Imaging, LLC | Radiology | 36297 N Gantzel Road, Suite 101, Queen Creek, AZ 85240 | 2010-02-24 |
| 1932421591 | Smi Imaging, LLC | Radiology | 9125 W Thunderbird Rd, Suite 105, Peoria, AZ 85381-4920 | 2010-02-24 |
| 1437471323 | Smi Imaging, LLC | Radiology | 13838 S 46th Pl Ste 200, Phoenix, AZ 85044-7803 | 2010-02-19 |
| 1598098725 | Smi Imaging, LLC | Radiology | 1870 W Frye Rd Ste 3, Chandler, AZ 85224-6233 | 2009-09-04 |
| 1225361454 | Smi Imaging, LLC | Radiology | 1425 S Greenfield Rd Bldg 2, Suite 114, Mesa, AZ 85206-5505 | 2009-09-04 |
| 1043543275 | Smi Imaging, LLC | Radiology | 5410 W Thunderbird Rd Ste 221, Glendale, AZ 85306-4711 | 2009-09-04 |
| 1972736163 | Smi Imaging, LLC | Radiology | 9403 W Thunderbird Rd, Peoria, AZ 85381-4825 | 2009-09-03 |
| Street Address |
2450 E GUADALUPE RD STE 109 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| 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 |
|---|---|---|---|---|
| 1295345783 | Susan Shotts | Radiology | 861 N Higley Rd Ste B101, Gilbert, AZ 85234-9602 | 2020-08-09 |
| 1467741025 | Hannah A Lawther | Radiology | 2940 E. Banner Gateway Drive, Suite 350, Gilbert, AZ 85234 | 2011-04-05 |
| 1356574537 | Smi Imaging, LLC | Radiology | 2680 S Val Vista Dr Bldg 7, Suite 135, Gilbert, AZ 85295-2152 | 2009-09-03 |
| 1003954322 | Georg Hernandez | Radiology | 4001 E Baseline Rd Ste 105, Gilbert, AZ 85234-2744 | 2007-02-01 |
| 1376689778 | Stephen J Adams | Radiology | 1719 E Indigo St, Gilbert, AZ 85298-3220 | 2007-01-30 |
| 1790710457 | Melissa Lee Dymond | Radiology | 1825 E Willow Tree Ct, Gilbert, AZ 85234-4933 | 2006-07-11 |
| 1427011014 | John Steven Davis | Radiology | 1900 N. Higley Road, Banner Gateway Medical Center, Gilbert, AZ 85234-1604 | 2006-04-06 |
| 1891784880 | Susan Passalaqua | Radiology | 2946 E Banner Gateway Dr., Gilbert, AZ 85234 | 2005-10-21 |
| 1295724011 | Marc S. Weinstein | Radiology | 1760 E Pecos Rd Ste 101, Gilbert, AZ 85295-3201 | 2005-10-14 |
| 1518956499 | Joel R. Rainwater | Radiology | 4001 E Baseline Rd Ste 107, Gilbert, AZ 85234-2744 | 2005-10-13 |
| Find all providers in GILBERT | ||||
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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.