MIDWEST RADIOLOGY, PA (NPI# 1952307175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952307175 |
| Entity Type | Organization |
| Organization Name | MIDWEST RADIOLOGY, PA |
| Other Organization Name | ST. PAUL RADIOLOGY, PA |
| Practice Address |
250 Thompson St. Saint Paul MN 55102 |
| Mailing Address |
2355 Highway 36 W Ste 100 Roseville MN 55113-3902 |
| Practice Telephone | 6512922000 |
| Mailing Telephone | 6512922000 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | SEE YANG (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6512922013 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
43 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 435710800 | 05 |
| Other Name | Type Code |
|---|---|
| St. Paul Radiology, PA | Former Legal Business Name - Organization |
| Street Address |
250 THOMPSON ST. |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821077876 | Michael T Madison | Radiology | 250 Thompson St., Saint Paul, MN 55102 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| 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 |
|---|---|---|---|---|
| 1568589083 | Jamie L. Fort | Radiology | 166 4th St E Ste 100, Saint Paul, MN 55101-1474 | 2007-03-22 |
| 1245218759 | Nihar S Shah | Radiology | 250 Thompson St, Saint Paul, MN 55102-2370 | 2006-01-04 |
| 1558367789 | Richard N. Aizpuru | Radiology | 166 4th St E, Saint Paul, MN 55101-1421 | 2005-06-22 |
| 1558785311 | Megan Elgethun | Radiology | 166 4th St E, Saint Paul, MN 55101-1421 | 2014-02-13 |
| 1043643059 | Voyageur Imaging,llc | Radiology | 393 Dunlap St N, Suite Ll40, Saint Paul, MN 55104-4200 | 2013-08-13 |
| 1205273083 | John A Coburn | Radiology | 250 Thompson St, Saint Paul, MN 55102-2370 | 2013-06-03 |
| 1063858793 | Paul Robert Oler II | Radiology | 250 Thompson St, Saint Paul, MN 55102 | 2013-05-21 |
| 1407299423 | Nissar Vahora | Radiology | 250 Thompson St, Saint Paul, MN 55102 | 2013-04-09 |
| 1912240235 | Assefa Ayalew | Radiology | 166 4th St E, Saint Paul, MN 55101-1400 | 2013-04-04 |
| 1447593173 | Ahmad Al-samaraee | Radiology | 250 Thompson St, Saint Paul, MN 55102-2370 | 2013-04-01 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on MIDWEST RADIOLOGY, PA.
| 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.