RADIOLOGIC IMAGING CONSULTANTS, LLP (NPI# 1871689505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871689505 |
| Entity Type | Organization |
| Organization Name | RADIOLOGIC IMAGING CONSULTANTS, LLP |
| Practice Address |
300 First Capitol Drive St Charles MO 63301 |
| Mailing Address |
220 Compass Point Dr St Charles MO 63301 |
| Practice Telephone | 6369475444 |
| Mailing Telephone | 6369474480 |
| Mailing Fax Number | 6369479860 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JONATHAN ROOT (PARTNER) |
| Authorized Official Telephone | 6369474480 |
| 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 |
|---|---|---|---|
| IL | BLUE CROSS & BLUE SHIELD | 06022955 | 01 |
| MO | HEALTHLINK GROUP NUMBER | 438386 | 01 |
| MO | BLUE CROSS & BLUE SHIELD | 117184 | 01 |
| MO | GROUP HEALTH PLAN | 4355 | 01 |
| MO | FMH EXCLUSIVE CHOICE | O16294 | 01 |
| MO | HEALTHCARE USA GROUP NUMB | 21317X21317 | 01 |
| MO | FEDERAL BLACK LUNG | 266417 | 01 |
| Street Address |
300 FIRST CAPITOL DRIVE |
| City | ST CHARLES |
| State | MO |
| Zip Code | 63301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558351171 | Daniel T Cohen | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2005-10-25 |
| 1669736948 | Nicholson S Chadwick | Internal Medicine | 300 First Capitol Drive, St Charles, MO 63301 | 2012-07-01 |
| 1801184403 | Mahbubul B Patwary | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2011-07-16 |
| 1245527142 | Cole E Denton | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2011-06-30 |
| 1013188762 | Gunvir S Gill | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2008-03-20 |
| 1952506313 | Brian A Boyd | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2007-06-17 |
| 1033139696 | Jonathan D Root | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2006-07-19 |
| 1568482123 | Tim Propeck | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2006-07-19 |
| 1780604314 | Jonas Singer | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2006-07-19 |
| 1841210499 | Scott C St Amour | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189910 | Kelsey Fix | Occupational Therapist | 3228 Silvertrail Dr, Saint Charles, MO 63301 | 2019-11-19 |
| 1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
| 1558921361 | Next Steps Therapy & Coaching, LLC | Clinic/Center | 1040 Fairgrounds Road, St. Charles, MO 63301 | 2019-06-14 |
| 1093297426 | Delia Smith | Specialist/Technologist | 209 S Kingshighway, St. Charles, MO 63301 | 2018-09-01 |
| 1285136754 | Helping Hand Home Healthcare, LLC | Home Health | 1360 S 5th Street, Suite 278, Saint Charles, MO 63301 | 2018-03-01 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1457807067 | Angela Thro | Occupational Therapist | 3489 Boschertown Road, Saint Charles, MO 63301 | 2016-09-01 |
| 1487060570 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 1st Capitol Dr, St. Charles, MO 63301 | 2014-07-09 |
| 1114337102 | Nucrown,inc. | Optometrist | 1910 First Capital Drive, St. Charles, MO 63301 | 2014-04-30 |
| 1780922476 | Kristen James | Counselor | 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 | 2013-01-30 |
| Find all providers in zip 63301 | ||||
| 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 |
|---|---|---|---|---|
| 1952323875 | Mohammed Fazal Majeed | Radiology | 300 First Capitol Dr., St Charles, MO 63301 | 2006-07-24 |
| 1558351171 | Daniel T Cohen | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2005-10-25 |
| 1801184403 | Mahbubul B Patwary | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2011-07-16 |
| 1245527142 | Cole E Denton | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2011-06-30 |
| 1013188762 | Gunvir S Gill | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2008-03-20 |
| 1952506313 | Brian A Boyd | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2007-06-17 |
| 1033139696 | Jonathan D Root | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2006-07-19 |
| 1568482123 | Tim Propeck | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2006-07-19 |
| 1780604314 | Jonas Singer | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2006-07-19 |
| 1144253410 | Lewis C Halverson | Radiology | 300 First Capitol Drive, St Charles, MO 63301 | 2006-07-09 |
| Find all providers in ST CHARLES | ||||
| City | ST CHARLES |
| Zip Code | 63301 |
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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.