DIAGNOSTIC RADIOLOGY ASSOCIATES LLC


Address: 1201 Mickelson Dr Ste 2, Watertown, SD 57201-7253
Phone: 6058820432

DIAGNOSTIC RADIOLOGY ASSOCIATES LLC (NPI# 1871538504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871538504
Entity Type Organization
Organization Name DIAGNOSTIC RADIOLOGY ASSOCIATES LLC
Practice Address 1201 Mickelson Dr Ste 2
Watertown
SD 57201-7253
Practice Telephone 6058820432
Practice Fax Number 6058820978
Mailing Telephone 6058820432
Mailing Fax Number 6058820978
Enumeration Date 2006-06-17
Last Update Date 2013-02-21
Authorized Official Name WILLIAM K BISHOP (PROVIDER)
Authorized Official Telephone 6058820432
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SD BCBS - GROUP 0006893 01

Office Location

Street Address 1201 MICKELSON DR STE 2
City WATERTOWN
State SD
Zip Code 57201-7253

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699789263 Teralynn S Clark Anesthesiology 1201 Mickelson Dr Ste 2, Watertown, SD 57201-7253 2006-07-28
1497782882 William K Bishop Radiology 1201 Mickelson Dr Ste 2, Watertown, SD 57201-7253 2006-06-28
1972546711 Stephen J Steska Radiology 1201 Mickelson Dr Ste 2, Watertown, SD 57201-7253 2006-06-13

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1023503406 Rhonda Jean Cyre Occupational Therapy Assistant 613 B 1st Ave Se, Watertown, SD 57201 2018-06-27
1083160717 Joyce Anderson Psychologist 1124 Konrady Dr. Ne, Watertown, SD 57201 2016-09-01
1336584630 Jeffrey Alan Dorrity Otolaryngology 1201 Mickelson Dr, Watertown, SD 57201 2013-05-01
1427397389 Vickie Lynn Burchatz Occupational Therapy Assistant 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 2013-02-12
1215292560 Eagle Vision Eyewear Supplier (Equipment, not the service) 906 1/2 9th Ave Se, Watertown, SD 57201 2012-07-11
1669777462 Eve Lynn Hensler Audiologist 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 2011-01-26
1760792261 Maria Redmond Physical Therapist 810 South Maple, Watertown, SD 57201 2010-10-18
1194918995 Colette Wheeler Occupational Therapist 17330, 458th Ave, Watertown, SD 57201 2007-08-24
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861685166 Sanford Clinic Radiology 891 14th Ave Ne, Watertown, SD 57201 2007-08-21
1922045863 Magnetic Imaging Center/open Mri, LLC Radiology 629 Washington St, Watertown, NY 13601-4035 2006-05-31
1750370805 Northern Radiology Imaging Center, Pllc Radiology 1571 Washington Street, Suite 101, Watertown, NY 13601 2005-10-20
1811997042 Mark Kwalbrun Radiology 1571 Washington St, Suite 101, Watertown, NY 13601-9304 2005-07-29
1124435607 Rg Sherry Md, Pllc Radiology 1340 Washington St, Watertown, NY 13601-4541 2014-07-17
1306147921 Nrs Arizona, Pa Radiology 506 1st Ave Se, Watertown, SD 57201-4402 2010-11-12
1235361064 Gwen M Schaunaman Radiology 506 1st Ave Se, Watertown, SD 57201-4402 2009-08-12
1861685133 Radiology Waukesha S.c. Radiology 125 Hospital Dr, Watertown, WI 53098-3303 2007-08-21
1174611529 Pierce James Meier Radiology 125 Hospital Drive, Watertown Memorial Hospital, Watertown, WI 53094 2006-10-11
1104840826 John Joseph Wasenko Radiology 1571 Washington St, Suite 101, Watertown, NY 13601-9304 2006-07-26
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Competitor

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City WATERTOWN
Zip Code 57201

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Dataset Information

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.

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