SHARED MAGNETIC RESONANCE IMAGING FACILITY, INC (NPI# 1780640532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780640532 |
| Entity Type | Organization |
| Organization Name | SHARED MAGNETIC RESONANCE IMAGING FACILITY, INC |
| Other Organization Name | TURVILLE BAY MRI AND RADIATION ONCOLOGY CENTER |
| Practice Address |
1104 John Nolen Dr Suite 1 Madison WI 53713-1430 |
| Practice Telephone | 6082516868 |
| Practice Fax Number | 6082514255 |
| Mailing Telephone | 6082516868 |
| Mailing Fax Number | 6082514255 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2015-11-25 |
| Authorized Official Name | BARBARA J THIERMANN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6082594438 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32828800 | 05 |
| Other Name | Type Code |
|---|---|
| Turville Bay MRI and Radiation Oncology Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982669107 | Shared Magnetic Resonance Imaging Facility, Inc | Clinic/Center | 1104 John Nolen Dr, Madison, WI 53713-1430 | 2006-04-19 |
| Street Address |
1104 JOHN NOLEN DR SUITE 1 |
| City | MADISON |
| State | WI |
| Zip Code | 53713-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760488092 | June A Kim | Radiology | 1104 John Nolen Dr, Madison, WI 53713-1430 | 2005-06-22 |
| 1013179928 | Michelle Mary Kolton Mackay | Radiology | 1104 John Nolen Dr, Madison, WI 53713-1430 | 2008-07-01 |
| 1093770943 | John P. Hayes | Radiology | 1104 John Nolen Dr, Madison, WI 53713-1430 | 2006-04-20 |
| 1013972983 | Michael W. Zinda | Radiology | 1104 John Nolen Dr, Madison, WI 53713-1430 | 2006-04-20 |
| 1306801790 | Ming Teng | Radiology | 1104 John Nolen Dr, Madison, WI 53713-1430 | 2006-04-19 |
| 1982669107 | Shared Magnetic Resonance Imaging Facility, Inc | Clinic/Center | 1104 John Nolen Dr, Madison, WI 53713-1430 | 2006-04-19 |
| 1366404329 | Richard M Auchter | Radiology | 1104 John Nolen Dr, Madison, WI 53713-1430 | 2006-04-05 |
| 1659362184 | Glenn L Applegate | Radiology | 1104 John Nolen Dr, Madison, WI 53713-1430 | 2005-11-03 |
| 1326032509 | Jason S Duelge | Radiology | 1104 John Nolen Dr, Madison, WI 53713 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093203457 | Joshua David Corteville | Clinic/Center | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2018-05-01 |
| 1134548985 | Aurora Cancer Care of Kenosha LLC | Clinic/Center | 6811 118th Ave, Kenosha, WI 53142-8420 | 2014-04-09 |
| 1720182462 | Holy Family Memorial Inc | Clinic/Center | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2006-09-12 |
Please comment or provide details below to improve the information on SHARED MAGNETIC RESONANCE IMAGING FACILITY, 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.