MOUNTAIN IMAGING, LLC (NPI# 1265606156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265606156 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN IMAGING, LLC |
| Practice Address |
807 S Ponderosa St Payson AZ 85541-5542 |
| Mailing Address |
16620 N 40th St Ste. B-2 Phoenix AZ 85032-3348 |
| Practice Telephone | 9284721357 |
| Practice Fax Number | 9284721290 |
| Mailing Telephone | 6024931994 |
| Mailing Fax Number | 6024432185 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | DR. JEFFREY C CROSBY (OWNER) |
| Authorized Official Telephone | 4803633202 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
28316 | AZ | Ambulatory Health Care Facilities |
| Street Address |
807 S PONDEROSA ST |
| City | PAYSON |
| State | AZ |
| Zip Code | 85541-5542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357360 | Guy Caraffa | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2005-06-24 |
| 1205320777 | Jessica L Balcom | Nurse Practitioner | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2018-06-19 |
| 1063923340 | Banner Health | General Acute Care Hospital | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2017-10-13 |
| 1568995470 | Andrew Clark | Emergency Medicine | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2017-04-07 |
| 1972056588 | Jacob Troy Russell | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2016-07-31 |
| 1114301017 | Banner Health | Medicare Defined Swing Bed Unit | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2015-07-10 |
| 1063893121 | Banner Health | General Acute Care Hospital | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2015-06-15 |
| 1831503697 | Alex Vlahopoulos | Emergency Medicine | 807 S Ponderosa St, Payson, AZ 85541 | 2014-06-19 |
| 1912280900 | Pine View Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2011-09-26 |
| 1013221290 | Nagendra Gupta | Internal Medicine | 807 S Ponderosa St, Payson, AZ 85541-5542 | 2010-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805130 | Melissa Marie Avery | Registered Nurse | 903 Az-260, Payson, AZ 85541 | 2019-08-08 |
| 1952803710 | Payson Orthodontics | Dentist | 902 S Beeline Hwy, Payson, AZ 85541 | 2018-03-07 |
| 1568844181 | Banner Home Care Arizona | Home Health | 708 E Route 260 Ste A1, Payson, AZ 85541 | 2015-06-19 |
| 1063893626 | Sage Counseling, Inc. | Community/Behavioral Health | 1100 N. Beeline Hwy, Suite F, Payson, AZ 85541 | 2015-06-09 |
| 1053712059 | Garry Gordon | Homeopath | 600 N Beeline Hwy, Payson, AZ 85541 | 2014-09-09 |
| 1821406901 | Monica Nestich | Physical Therapy Assistant | 708 E. State Hwy 260, Payson, AZ 85541 | 2014-08-01 |
| 1841601523 | Megan Fragale Saalfrank | Pharmacist | 401 E. Highway 260, Payson, AZ 85541 | 2014-05-15 |
| 1750791836 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 600 E. Highway 260, Suite 4 & 5, Payson, AZ 85541 | 2014-04-29 |
| 1164775169 | Kc's Home Health Care LLC of Payson | Home Health | 114 E. Highway 260, Payson, AZ 85541 | 2012-10-16 |
| 1598014458 | Ivan D. Mclaws, Dpm | Podiatrist | 200 East Lone Pine Dr., Payson, AZ 85541 | 2012-09-06 |
| Find all providers in zip 85541 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
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| 1699390211 | Ew Breast Imaging LLC | Clinic/Center | 8896 E Becker Ln Ste 101, Scottsdale, AZ 85260-6281 | 2020-06-09 |
| 1023357563 | Carondelet Health Network | Clinic/Center | 4892 North Stone Avenue, Suite 180, Tucson, AZ 85704-5749 | 2013-02-04 |
| 1629345707 | Ben-ora, Hansen, & Vanesian Imaging | Clinic/Center | 11220 N Tatum Blvd Ste 105, Phoenix, AZ 85028-1629 | 2011-11-17 |
| 1548547029 | Ben-ora Hansen & Vanesian Imaging | Clinic/Center | 900 W Chandler Blvd, Suite A4, Chandler, AZ 85225-4907 | 2011-11-10 |
| 1720230824 | Mammography Partners LLC | Clinic/Center | 2840 W Ina Rd, #144, Tucson, AZ 85741-2587 | 2008-10-21 |
| 1316199482 | Mammography Partners LLC | Clinic/Center | 4232 E Cactus Rd Ste 214, Phoenix, AZ 85032-7615 | 2008-10-21 |
| 1407006737 | Mammography Partners LLC | Clinic/Center | 1200 N El Dorado Pl # H820, Tucson, AZ 85715-4637 | 2008-09-23 |
| 1871663260 | Carondelet Health Network | Clinic/Center | 395 North Silverbell Road, Suite 185, Tucson, AZ 85745-2675 | 2006-11-09 |
| 1215204383 | Ben-ora, Hansen & Vanesian Imaging | Clinic/Center | 5310 W Thunderbird Rd, #213, Glendale, AZ 85306-4706 | 2011-11-17 |
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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.