SMI IMAGING, LLC (NPI# 1811219702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811219702 |
Entity Type | Organization |
Organization Name | SMI IMAGING, LLC |
Other Organization Name | SIMONMED IMAGING - 19TH AVENUE |
Practice Address |
6707 N 19th Ave Suite 108 Phoenix AZ 85015-1104 |
Mailing Address |
Po Box 7368 Orange CA 92863-7368 |
Practice Telephone | 6022424177 |
Practice Fax Number | 6022424022 |
Mailing Telephone | 7145715000 |
Mailing Fax Number | 7145715055 |
Enumeration Date | 2010-02-19 |
Last Update Date | 2010-02-19 |
Authorized Official Name | HOWARD J SIMON (PRESIDENT) |
Authorized Official Telephone | 4802642400 |
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 |
Other Name | Type Code |
---|---|
SimonMed Imaging - 19th Avenue | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972004489 | Smi Imaging, LLC | Radiology | 6740 E Camelback Rd Ste 100, Scottsdale, AZ 85251-2096 | 2018-02-21 |
1124552120 | Smi Imaging, LLC | Clinic/Center | 2502 E Camelback Rd, 160, Phoenix, AZ 85016-4254 | 2017-04-17 |
1255870267 | Smi Imaging, LLC | Clinic/Center | 4219 E Bell Rd, Phoenix, AZ 85032-3366 | 2017-02-23 |
1841512407 | Smi Imaging, LLC | Radiology | 36297 N Gantzel Road, Suite 101, Queen Creek, AZ 85240 | 2010-02-24 |
1932421591 | Smi Imaging, LLC | Radiology | 9125 W Thunderbird Rd, Suite 105, Peoria, AZ 85381-4920 | 2010-02-24 |
1437471323 | Smi Imaging, LLC | Radiology | 13838 S 46th Pl Ste 200, Phoenix, AZ 85044-7803 | 2010-02-19 |
1598098725 | Smi Imaging, LLC | Radiology | 1870 W Frye Rd Ste 3, Chandler, AZ 85224-6233 | 2009-09-04 |
1225361454 | Smi Imaging, LLC | Radiology | 1425 S Greenfield Rd Bldg 2, Suite 114, Mesa, AZ 85206-5505 | 2009-09-04 |
1043543275 | Smi Imaging, LLC | Radiology | 5410 W Thunderbird Rd Ste 221, Glendale, AZ 85306-4711 | 2009-09-04 |
1972736163 | Smi Imaging, LLC | Radiology | 9403 W Thunderbird Rd, Peoria, AZ 85381-4825 | 2009-09-03 |
Street Address |
6707 N 19TH AVE SUITE 108 |
City | PHOENIX |
State | AZ |
Zip Code | 85015-1104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225019896 | Eric Duquella | Internal Medicine | 6707 N 19th Ave, Suite 200, Phoenix, AZ 85015-1104 | 2005-11-09 |
1356722920 | Hawkeye Foot and Ankle LLC | Clinic/Center | 6707 N 19th Ave, Phoenix, AZ 85015-1104 | 2015-06-09 |
1033596770 | Smi Imaging, LLC | Clinic/Center | 6707 N 19th Ave, Suite 101, Phoenix, AZ 85015-1104 | 2015-05-01 |
1447509583 | Laura Heath | Podiatrist | 6707 N 19th Ave, Phoenix, AZ 85015-1104 | 2012-09-05 |
1043461171 | Desert Kids Pediatrics Plc | Pediatrics | 6707 N 19th Ave, Ste 109, Phoenix, AZ 85015-1105 | 2008-10-07 |
1164681490 | Ronald P. Steinbach | Chiropractor | 6707 N 19th Ave, Suite 102, Phoenix, AZ 85015-1104 | 2008-06-02 |
1073794566 | Clinical Associates In Internal Medicine, Ltd | Specialist | 6707 N 19th Ave, Suite 200, Phoenix, AZ 85015-1104 | 2007-11-26 |
1790904282 | Associated Foot & Ankle Specialists Plc | Podiatrist | 6707 N 19th Ave, Suite 103, Phoenix, AZ 85015-1104 | 2007-04-24 |
1922132414 | Michael Jerome Hervey II | Family Medicine | 6707 N 19th Ave, Ste 222, Phoenix, AZ 85015-1106 | 2007-03-15 |
1184736944 | Arthur Jesse Tallis | Podiatrist | 6707 N 19th Ave, Suite 103, Phoenix, AZ 85015-1104 | 2006-08-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
Find all providers in zip 85015 |
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 |
---|---|---|---|---|
1598243867 | Mdig of Florida, LLC | Radiology | 10835 N 25th Ave Ste 140, Phoenix, AZ 85029-3408 | 2018-07-30 |
1265974836 | Teleradiology Specialists LLC | Radiology | 4813 E Piccadilly Rd, Phoenix, AZ 85018-5540 | 2016-11-13 |
1447630140 | Mohamad Nass | Radiology | 34718 N 24th Ave, Phoenix, AZ 85086-6605 | 2015-06-08 |
1659703304 | Tesla Imaging and Medical | Radiology | 43817 Nth 50th Dr, Phoenix, AZ 85087 | 2013-08-05 |
1962748574 | Alysha Keren Vartevan | Radiology | 4130 E Van Buren St Ste 100, Phoenix, AZ 85008-6996 | 2012-12-31 |
1003177767 | Donald A Tobias | Radiology | 97 Biltmore Est, Phoenix, AZ 85016-2820 | 2012-05-30 |
1518279660 | Nicholas Bhojwani | Radiology | 2625 East Camelback Road, Unit 261, Phoenix, AZ 85016 | 2010-07-06 |
1437471323 | Smi Imaging, LLC | Radiology | 13838 S 46th Pl Ste 200, Phoenix, AZ 85044-7803 | 2010-02-19 |
1891928107 | Smi Imaging, LLC | Radiology | 20414 N 27th Ave Ste 150, Phoenix, AZ 85027-3246 | 2009-09-02 |
1396978250 | North Mountain Imaging Specialists, LLC | Radiology | 2500 N. Utopia Road, Suite 100, Phoenix, AZ 85027 | 2009-08-26 |
Find all providers in PHOENIX |
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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.