SMI IMAGING, LLC (NPI# 1043543275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043543275 |
| Entity Type | Organization |
| Organization Name | SMI IMAGING, LLC |
| Other Organization Name | SIMONMED IMAGING - THUNDERBIRD II |
| Practice Address |
5410 W Thunderbird Rd Ste 221 Glendale AZ 85306-4711 |
| Mailing Address |
Po Box 7368 Orange CA 92863-7368 |
| Practice Telephone | 6026825000 |
| Practice Fax Number | 6026825010 |
| Mailing Telephone | 7145715000 |
| Mailing Fax Number | 7145715055 |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2011-05-05 |
| 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 |
OTC4702 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 473411 | 05 | |
| RAILROAD MEDICARE | P00811052 | 01 |
| Other Name | Type Code |
|---|---|
| SimonMed Imaging - Thunderbird II | 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 |
| 1972736163 | Smi Imaging, LLC | Radiology | 9403 W Thunderbird Rd, Peoria, AZ 85381-4825 | 2009-09-03 |
| 1992938153 | Smi Imaging, LLC | Radiology | 235 S Dobson Rd Bldg L, Chandler, AZ 85224-6229 | 2009-09-03 |
| Street Address |
5410 W THUNDERBIRD RD STE 221 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| 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. |
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| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1780154153 | Bay Imaging Consultants Medical Group | Radiology | 435 W Los Feliz Rd Unit 462, Glendale, CA 91204-3569 | 2018-11-28 |
| 1851893317 | Main Street Radiology At Bayside LLC | Radiology | 8314 Cooper Ave, Glendale, NY 11385-7722 | 2018-03-01 |
| 1609284660 | Armen Aivazi | Radiology | 3335 Deer Creek Ln, Glendale, CA 91208-1166 | 2014-07-23 |
| 1558594747 | Smi Imaging, LLC | Radiology | 5410 W Thunderbird Rd Ste 100, Glendale, AZ 85306-4711 | 2009-09-03 |
| 1336387059 | Saadet Atay-rosenthal | Radiology | 5601 W Saguaro Park Ln, Glendale, AZ 85310-2815 | 2009-02-03 |
| 1912166968 | Jeanne C Lammering | Radiology | 1144 Cordova Ave, Glendale, CA 91207-1751 | 2008-06-05 |
| 1740403104 | Glendale Diagnostic Imaging Network Medical Office, Inc | Radiology | 403 S Glendale Ave, Glendale, CA 91205-2222 | 2007-04-11 |
| 1689750382 | James Chouming Wu | Radiology | 1420 South Central Avenue, Glendale, CA 91204 | 2006-10-27 |
| 1336238963 | Steven Jc Wong | Radiology | 624 S. Central Ave., Glendale, CA 91204-2009 | 2006-10-12 |
| Find all providers in GLENDALE | ||||
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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.