MID AMERICAN IMAGING, INC. (NPI# 1174563670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174563670 |
| Entity Type | Organization |
| Organization Name | MID AMERICAN IMAGING, INC. |
| Practice Address |
659 Boulevard St Dover OH 44622-2026 |
| Mailing Address |
100 Bayview Circle Suite 400 Newport Beach CA 92660-2984 |
| Practice Telephone | 3303433311 |
| Mailing Telephone | 8005443215 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-12-08 |
| Authorized Official Name | NICHOLAS A. POAN (SVP CORPORATE FINANCE) |
| Authorized Official Telephone | 9492425321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
02220180040 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BCBS OF OHIO | 000000166606 | 01 |
| OH | 731337 | 05 | |
| OH | 2368727 | 05 | |
| OH | ACS/US DEPT OF LABOR | 366270200 | 01 |
| OH | 47710-0001 | 05 | |
| OH | MEDFOCUS RADIOLOGY NETWOR | 23753 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073553582 | Mid American Imaging, Inc. | Clinic/Center | 1400 E 2nd St, Defiance, OH 43512-2440 | 2006-06-07 |
| Street Address |
659 BOULEVARD ST |
| City | DOVER |
| State | OH |
| Zip Code | 44622-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902808983 | Mary Margaret Lilko | Family Medicine | 659 Boulevard St, Dover, OH 44622-2026 | 2005-08-10 |
| 1417581463 | Wendy Kay Ledger | Nurse Practitioner | 659 Boulevard St, Dover, OH 44622-2026 | 2020-02-28 |
| 1780217760 | Hospitalist Medicine Physicians of Ohio - Dover, PC | Internal Medicine | 659 Boulevard St, Dover, OH 44622-2026 | 2020-02-18 |
| 1346888153 | Nathan Walter Miller | Nurse Practitioner | 659 Boulevard St, Dover, OH 44622-2026 | 2019-12-12 |
| 1346885076 | Hospitalist Medicine Physicians of Ohio - Dover, Professional Corporat | Internal Medicine | 659 Boulevard St, Dover, OH 44622-2026 | 2019-11-18 |
| 1063061489 | Access Tusc | Community Health Worker | 659 Boulevard St, Dover, OH 44622-2026 | 2019-09-09 |
| 1275097834 | Lauren Odenkirk | Dietitian, Registered | 659 Boulevard St, Dover, OH 44622-2026 | 2019-01-29 |
| 1811451479 | Sydney Solomon | Dietitian, Registered | 659 Boulevard St, Dover, OH 44622-2026 | 2019-01-29 |
| 1497238422 | Tyler Orewiler | Physician Assistant | 659 Boulevard St, Dover, OH 44622-2026 | 2018-09-14 |
| 1922526268 | Kayley Thomas | Dietitian, Registered | 659 Boulevard St, Dover, OH 44622-2026 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508377 | Rosa Ann Cleaver | Nurse Practitioner | 205 Medical Park Drive, Dover, OH 44622 | 2018-12-03 |
| 1225528417 | Kimberly A Wetzel | Social Worker | 201 Medical Park Dr., Dover, OH 44622 | 2018-05-14 |
| 1598278293 | Linda Kimble | Registered Nurse | 204 S Bellview Ave, Dover, OH 44622 | 2017-11-16 |
| 1932628385 | Stacy Martin | Counselor | Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 | 2017-09-18 |
| 1689110918 | Jamie Renee' Wallace | Registered Nurse | 201 - Hospital Drive, Dover, OH 44622 | 2017-01-10 |
| 1205284577 | Jamey Harlan | Health Educator | 500 Boulevard, Dover, OH 44622 | 2016-05-27 |
| 1447689575 | Kelly Schneiders | Nurse Practitioner | 201 Medical Drive, Dover, OH 44622 | 2013-11-08 |
| 1891122214 | Christa Renee Hatfield-lewis | Counselor | 201 Hospital Drive, Dover, OH 44622 | 2013-09-30 |
| 1790032688 | Audio Hearing Aid Service LLC | Hearing Instrument Specialist | 2630 N. Wooster Ave., Dover, OH 44622 | 2012-08-09 |
| 1376818286 | Tracy Louise Turck | Licensed Practical Nurse | 920 Boulvard St, Dover, OH 44622 | 2012-03-12 |
| Find all providers in zip 44622 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
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| 1871535161 | Mobile Echo and Imaging, Inc. | Clinic/Center | 410 Grant St, Galion, OH 44833-1843 | 2006-06-12 |
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| 1457354318 | Shared Pet Imaging LLC | Clinic/Center | 1341 Clark St, Cambridge, OH 43725 | 2005-05-24 |
| 1275157075 | Pdi Health Oh LLC | Clinic/Center | 20 S 3rd St, Columbus, OH 43215-4206 | 2020-06-08 |
| 1447881362 | Woodland Diagnostic Imaging LLC | Clinic/Center | 5005 Whipple Ave Nw, Canton, OH 44718-2657 | 2020-01-29 |
| Find all providers with the same taxonomy | ||||
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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.