MISSION MEDICAL IMAGING


Address: 1155 Mission St Se, Suite 105, Salem, OR 97302-6228
Phone: 5033620254

MISSION MEDICAL IMAGING (NPI# 1306893979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306893979
Entity Type Organization
Organization Name MISSION MEDICAL IMAGING
Practice Address 1155 Mission St Se
Suite 105
Salem
OR 97302-6228
Mailing Address Po Box 191
Salem
OR 97308-0191
Practice Telephone 5033620254
Mailing Telephone 5033620254
Mailing Fax Number 5033621082
Enumeration Date 2006-05-28
Last Update Date 2008-04-07
Authorized Official Name MR. THOMAS CHAMBERS (GENERAL MANAGER)
Authorized Official Telephone 5033620254
Authorized Official Credential R.T.(R).
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 178384 05

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names MISSION MEDICAL IMAGING, L.L.C. 1155 Mission St Se Suite 105, Salem, OR 97302

Office Location

Street Address 1155 MISSION ST SE
SUITE 105
City SALEM
State OR
Zip Code 97302-6228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114268273 Shawna Cozens Physician Assistant 1155 Mission St Se, Suite 205, Salem, OR 97302-6228 2013-03-13
1518225242 Wvp Medical Group, LLC Clinic/Center 1155 Mission St Se, Suite 205, Salem, OR 97302-6228 2012-05-01
1316114465 Lynette Myra Lenz Physician Assistant 1155 Mission St Se, Suite 205, Salem, OR 97302 2008-05-08
1770646663 Kurt L. Atkin Physician Assistant 1155 Mission St Se, Suite 205, Salem, OR 97302-6228 2006-12-19
1942318613 Willamette Valley Radiology Radiology 1155 Mission St Se, Suite 105, Salem, OR 97302-6228 2006-08-25
1801904586 Anthony George Pappas Radiology 1155 Mission St Se, Suite 105, Salem, OR 97302-6228 2006-08-25
1396858353 Salem Family Physicians, P.C. Legal Medicine 1155 Mission St Se, Suite 205, Salem, OR 97302-6228 2006-08-16
1902819469 William Ebbert Purnell Jr. Radiology 1155 Mission St Se, Suite 105, Salem, OR 97302-6228 2006-08-15
1093759052 Richard Hall Family Medicine 1155 Mission St Se, Salem, OR 97302-6228 2006-06-16
1699715409 Deborah Cox Pediatrics 1155 Mission St Se, Salem, OR 97302-6228 2006-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952954679 Eric Anthony Bohm Pharmacist 2757 22nd St. Se, Salem, OR 97302 2019-07-22
1598223737 Michael Robert Martini Counselor 960 Liberty Rd Se Suite 120, Salem, OR 97302 2019-03-06
1659857480 Avalina Pharmacy Inc Pharmacy 3507 Commercial St Se, Salem, OR 97302 2018-07-16
1649762733 Joseph Bochsler Physical Therapist 3220 Liberty Rd. S., Salem, OR 97302 2018-06-04
1922533652 Brianne Elizabeth Sischo Licensed Practical Nurse 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 2017-05-01
1851825566 Modern Nose Clinic LLC Otolaryngology 340 Vista Ave Se, Ste 100, Salem, OR 97302 2017-04-19
1720529803 Nicholas Forsberg Massage Therapist 126 Mize Rd S, Salem, OR 97302 2017-03-09
1437691078 Kimo Mahi Specialist/Technologist, Other 2373 Kuebler Rd. S, Salem, OR 97302 2016-11-14
1588113278 New Life Family Medicine LLC Clinic/Center 842 Commercial Street Ne, Salem, OR 97302 2016-09-23
1073060117 Susan Morag Robnett Counselor 912 Fir Street South, Salem, OR 97302 2016-09-07
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730357617 Ralph E Adams Radiology 3506 Cherokee Dr S, Salem, OR 97302-9712 2008-02-13
1760565303 Piper Rooke Radiology 1165 Union St Ne Ste 100, Salem, OR 97301-4693 2006-10-24
1679586234 Stephen E Fitch Radiology Skyline Medical Office, 5125 Skyline Rd, S, Kaiser Permanente, Salem, OR 97306-9427 2006-08-14
1053330639 Robert S Andrews Radiology 11 Coxswain Pl, Salem, SC 29676-4442 2006-07-18
1093731440 Kenneth H Elson Radiology 755 Honeysuckle Rd, Salem, VA 24153-2745 2006-07-15
1417908757 Jose Novoa Radiology 2925 Ryan Dr Se, Salem, OR 97301-9687 2006-05-12
1093779282 Edwin Yen Wang Radiology 698 12th St Se Ste 145, Salem, OR 97301 2006-04-14
1548247901 Placido De Guzman Radiology 1970 Roanoke Blvd., Salem, VA 24153-6404 2005-12-28
1215924089 Salem Radiology Associates Radiology 310 Woodstown Rd, Salem, NJ 08079-2064 2005-10-05
1770578742 James Johnston Radiology 31 Stiles Rd, Ste 1200, Salem, NH 03079-2897 2005-09-15
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Competitor

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City SALEM
Zip Code 97302

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Dataset Information

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.

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