NORTHERN RADIOLOGY, PC (NPI# 1669487237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669487237 |
| Entity Type | Organization |
| Organization Name | NORTHERN RADIOLOGY, PC |
| Practice Address |
748 S Main St Cheboygan MI 49721-2220 |
| Mailing Address |
4420 Varsity Dr Ann Arbor MI 48108-2233 |
| Practice Telephone | 2316271257 |
| Practice Fax Number | 2316271530 |
| Mailing Telephone | 7346777400 |
| Mailing Fax Number | 7346777407 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | MICHAEL T SUNDAY (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2316271257 |
| 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 |
|---|---|---|---|
| MI | BCBS/BCN | 300A660020 | 01 |
| MI | RR MEDICARE | CJ7539 | 01 |
| Street Address |
748 S MAIN ST |
| City | CHEBOYGAN |
| State | MI |
| Zip Code | 49721-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336139443 | Madhuri Gogineni | Internal Medicine | 748 S Main St, Cheboygan, MI 49721-2220 | 2005-10-28 |
| 1790285237 | Alvin Mina | Physical Medicine & Rehabilitation | 748 S Main St, Cheboygan, MI 49721-2220 | 2018-02-20 |
| 1760927636 | Valerie Witt | Dental Hygienist | 748 S Main St, Suite B, Cheboygan, MI 49721-2220 | 2016-12-30 |
| 1437477676 | Community Memorial Hospital | Special Hospital | 748 S Main St, Cheboygan, MI 49721-2220 | 2010-05-12 |
| 1427376664 | Community Memorial Hospital | General Acute Care Hospital | 748 S Main St, Cheboygan, MI 49721-2220 | 2010-05-12 |
| 1033373352 | Dominic Jerome Giallombardo | Physician Assistant | 748 S Main St, Cheboygan, MI 49721-2220 | 2008-07-16 |
| 1821138488 | Alan Vern Scott | Social Worker | 748 S Main St, Cheboygan, MI 49721-2220 | 2007-02-06 |
| 1306935663 | Community Memorial Hospital | Nurse Practitioner | 748 S Main St, Cheboygan, MI 49721-2220 | 2006-10-12 |
| 1760571038 | Community Memorial Hospital | Physician Assistant | 748 S Main St, Cheboygan, MI 49721-2220 | 2006-10-12 |
| 1841211588 | Community Memorial Hospital | Emergency Medicine | 748 S Main St, Cheboygan, MI 49721-2220 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505755 | Cheboygan Area High School - Counseling Room | Clinic/Center | 801 W Lincoln Ave, Cheboygan, MI 49721 | 2018-07-26 |
| 1073048542 | Emily K Stevens | Counselor | 520 North Main St., Suite 202, Cheboygan, MI 49721 | 2017-04-21 |
| 1093102311 | Ashley Richards | Physical Therapy Assistant | 428 S. Huron St., Cheboygan, MI 49721 | 2015-04-24 |
| 1750791505 | Walloon Lake Recovery Lodge, LLC | Counselor | 811 Sammons St, Cheboygan, MI 49721 | 2014-05-02 |
| 1891118535 | Bethanie Norton-boss | Occupational Therapist | 4016 W. Us23, Cheboygan, MI 49721 | 2014-01-31 |
| 1457780751 | Alicia Yokom | Physical Therapist | 12550 Goebel Road, Cheboygan, MI 49721 | 2013-11-06 |
| 1902121049 | Shellie Charboneau | Massage Therapist | 321 S. Huron, Cheboygan, MI 49721 | 2010-04-01 |
| 1215269287 | Bay Street Orthopaedics Pllc | Orthopaedic Surgery | 838 South Main, Cheboygan, MI 49721 | 2010-02-02 |
| 1598099137 | Vitalcare Home Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 602 W. Seymour Street, Cheboygan, MI 49721 | 2009-09-30 |
| 1922243138 | Sarah B. Proctor | Acupuncturist | 520 N. Main St, Suite 303, Cheboygan, MI 49721 | 2008-12-03 |
| Find all providers in zip 49721 | ||||
| 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 |
|---|---|---|---|---|
| 1831154061 | Michael T Sunday | Radiology | 748 South Main Street, Cheboygan, MI 49721 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855667 | Joshua Boulter | Radiology | 2250 Providence Drive, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-11 |
| 1679197693 | Shyam Amin | Radiology | Academic Internal Medicine 2 2250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-05 |
| 1871116509 | Anthony Diebes | Radiology | 16001 W 9 Mile Rd Bldg 4th, Southfield, MI 48075-4818 | 2020-05-28 |
| 1548823800 | Alexander Paul Kaechele | Radiology | 16001 West 9 Mile Road, Suite #416, Southfield, MI 48075-4818 | 2019-04-22 |
| 1790246627 | Genesis Healthcare | Radiology | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-03-25 |
| 1023572831 | Proscan Imaging Southfield Pllc | Radiology | 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 | 2019-01-25 |
| 1295204253 | Easy Imaging, LLC | Radiology | 16100 19 Mile Rd Ste X, Clinton Township, MI 48038-1148 | 2018-11-20 |
| 1205304888 | Ascension Medical Group Genesys | Radiology | 1096 S Belsay Rd Ste J, Burton, MI 48509-1948 | 2018-11-13 |
| 1336626696 | Quantum Medical Radiology of California, P.C. | Radiology | 1625 Bear Creek Ln Unit O, Petoskey, MI 49770-8378 | 2018-07-19 |
| 1376072488 | Cambridge Institute of Minimally Invasive Therapies Pllc | Radiology | 2007 E 14 Mile Rd, Sterling Heights, MI 48310-5905 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHERN RADIOLOGY, PC.
| 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.