SIRA IMAGING CENTER LLC (NPI# 1558326124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558326124 |
| Entity Type | Organization |
| Organization Name | SIRA IMAGING CENTER LLC |
| Practice Address |
500 S Landmark Ave Bloomington IN 47403-3239 |
| Mailing Address |
Po Box 4366 Bloomington IN 47402-4366 |
| Practice Telephone | 8123328242 |
| Practice Fax Number | 8123337684 |
| Mailing Telephone | 8123328242 |
| Mailing Fax Number | 8123337684 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2010-11-30 |
| Authorized Official Name | DR. MARK BISESI (PRESIDENT) |
| Authorized Official Telephone | 8123328242 |
| 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 |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200152570 | 05 |
| Street Address |
500 S LANDMARK AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093166274 | Medical Scanning Consultants, P.a. | Radiology | 3802 W Industrial Blvd, Suite 4, Bloomington, IN 47403-5141 | 2016-06-28 |
| 1730489790 | Alliance Telemed LLC | Radiology | 2600 S Henderson St, Suite 122, Bloomington, IN 47401-8439 | 2010-10-25 |
| 1174839716 | Donald C Buehner | Radiology | 500 S. Landmark Ave, Bloomington, IN 47402-4366 | 2010-08-20 |
| 1457682239 | Strickler Radiology LLC | Radiology | 4011 S. Monroe Med Park Blvd, Bloomington, IN 47403-8000 | 2010-01-19 |
| 1316276108 | Herbert Eugene Parks | Radiology | 9416 S Harbour Pointe Dr, Bloomington, IN 47401-8100 | 2009-12-08 |
| 1043339310 | Jonathan Andrew Staser | Radiology | 429 S Landmark Avenue, Bloomington, IN 47403-5003 | 2007-03-28 |
| 1033169024 | Peter Constantini | Radiology | 4801 W 81st St, Suite 108, Bloomington, MN 55437-1111 | 2006-05-11 |
| 1366490658 | Joseph Porinchu Alenghat | Radiology | 1709 Jumer Dr, Suite B, Bloomington, IL 61704-0914 | 2006-05-05 |
| 1558354753 | John Francis Alexander | Radiology | 429 S Landmark Ave, Bloomington, IN 47403-5003 | 2005-08-24 |
| 1578563276 | Mark Henry Bechtel | Radiology | 4801 W 81st St Ste 108, Bloomington, MN 55437-1111 | 2005-07-26 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.