SHARED IMAGING (NPI# 1275676983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275676983 |
| Entity Type | Organization |
| Organization Name | SHARED IMAGING |
| Practice Address |
2801 Medical Center Dr Pocahontas AR 72455-9436 |
| Mailing Address |
801 Phoenix Lake Ave Streamwood IL 60107-2363 |
| Practice Telephone | 6304833980 |
| Practice Fax Number | 6304833986 |
| Mailing Telephone | 6304833980 |
| Mailing Fax Number | 6304833986 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-01-14 |
| Authorized Official Name | MR. RAYMOND STACHOWIAK (PRESIDENT) |
| Authorized Official Telephone | 6304833980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDICARE | 5F825 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Shared Imaging LLC | 801 Phoenix Lake Ave, Streamwood, Illinois 60107 |
| System for Award Management (SAM) Entities | SHARED IMAGING, LLC | 801 Phoenix Lake Ave, Streamwood, IL 60107-2363 |
| Oregon Corporations, Companies and Business Names | SHARED IMAGING, LLC | 801 Phoenix Lake Ave, Streamwood, IL 60107 |
| Iowa Business Entities | SHARED IMAGING, LLC | 801 Phoenix Lake Ave, Streamwood, IL 60107 |
| New York State Corporations | SHARED IMAGING, LLC | 187 Wolf Rd, Ste 101, Albany, Ny 12205 |
| Street Address |
2801 MEDICAL CENTER DR |
| City | POCAHONTAS |
| State | AR |
| Zip Code | 72455-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568448066 | Randolph Emergency Group LLC | Emergency Medicine | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2005-12-16 |
| 1295360360 | Hannah Cagle | Registered Nurse | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2020-03-09 |
| 1336793611 | Jordan Brooke Fletcher | Nurse Practitioner | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2019-07-25 |
| 1093054645 | Vivian Lea Brengard | Dietitian, Registered | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2013-02-01 |
| 1376834101 | Jefferydon Lee Coon | Internal Medicine | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2011-04-27 |
| 1932401650 | Five Rivers Medical Center Inc. | Psychiatric Unit | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1922300649 | Five Rivers Medical Center Inc. | Medicare Defined Swing Bed Unit | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1376845099 | Five Rivers Medical Center Inc. | Radiology | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-12-01 |
| 1528360989 | Five Rivers Medical Center Inc. | General Acute Care Hospital | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2010-11-17 |
| 1093023426 | Anna Pauletta Littleton | Nurse Practitioner | 2801 Medical Center Dr, Pocahontas, AR 72455 | 2010-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694920 | Puckett Dental LLC | Clinic/Center | 1041 Highway 67 North, Pocahontas, AR 72455 | 2015-07-10 |
| 1659676443 | Higginbotham Therapy Providers LLC | Speech-Language Pathologist | 42 Helter Rd, Pocahontas, AR 72455 | 2011-01-25 |
| 1083846059 | Amber Dawn Hudson | Speech-Language Pathologist | 84 Woodland Hill Circle, Pocahontas, AR 72455 | 2009-08-10 |
| 1174752125 | Sara Jocelyn Hubbell | Developmental Therapist | 410 Camp Road, Pocahontas, AR 72455 | 2009-07-13 |
| 1730332511 | Holly T Brigance | Nurse Practitioner | 2901 Medical Center Drive, Pocahontas, AR 72455 | 2008-10-24 |
| 1255598983 | Ashley Erin Taylor | Registered Nurse | 2018 Highway 67 S, Pocahontas, AR 72455 | 2008-05-20 |
| 1740405661 | Leslie Marie Malone | Speech-Language Pathologist | 2300 North Park St., Pocahontas, AR 72455 | 2007-04-16 |
| 1942354808 | D Mike Mcdaniel | Audiologist | 153 Country Club Road, Pocahontas, AR 72455 | 2007-01-22 |
| 1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
| 1275623035 | Families, Inc. of Arkansas | Counselor | 2305 Old County Road, Pocahontas, AR 72455 | 2006-10-13 |
| Find all providers in zip 72455 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740527001 | North Lr Medical Imaging LLC | Clinic/Center | 3320 Springhill Dr, Suite 200, N Little Rock, AR 72117-2922 | 2013-01-07 |
| 1760660351 | Med Imaging of Arkansas, Pllc | Clinic/Center | 6948 Alcoa Rd, Suite G, Benton, AR 72015-9726 | 2008-02-05 |
| 1073719423 | South Arkansas Open Mri LLC | Clinic/Center | 2401 W Hillsboro St, El Dorado, AR 71730-6815 | 2007-06-22 |
| 1487778593 | Us Radiology Partners of Texas Inc | Clinic/Center | 4201 Clubhouse Dr, Jonesboro, AR 72401-8078 | 2007-03-16 |
| 1568506715 | Arkansas Mri Services LLC | Clinic/Center | 1703 Phyllis St, Suite 101, Bentonville, AR 72712-7094 | 2007-02-19 |
| 1467492009 | Cabot Imaging Center, LLC | Clinic/Center | 2039 West Main Street, Suite A, Cabot, AR 72023 | 2006-06-08 |
| 1588265003 | Brittany Barber, Pllc | Clinic/Center | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2020-11-02 |
| 1013522127 | Sarc By Hsh Asc Pine Bluff | Clinic/Center | 7200 S Hazel St, Pine Bluff, AR 71603-7836 | 2020-09-15 |
| 1568086940 | Lansdell Enterprise Corp | Clinic/Center | 500 E Collin Raye Dr, De Queen, AR 71832-8048 | 2020-06-02 |
| 1649715681 | Chaffee Diagnostics LLC | Clinic/Center | 11300 Roberts Blvd, Fort Smith, AR 72916-6027 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
| City | POCAHONTAS |
| Zip Code | 72455 |
Please comment or provide details below to improve the information on SHARED IMAGING.
| 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.