SOUTHWEST DIAGNOSTIC IMAGING LTD (NPI# 1902896236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902896236 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST DIAGNOSTIC IMAGING LTD |
| Practice Address |
2323 W Rose Garden Ln Phoenix AZ 85027-2530 |
| Practice Telephone | 6025216200 |
| Practice Fax Number | 6238425640 |
| Mailing Telephone | 6025216200 |
| Mailing Fax Number | 6239314675 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2014-03-05 |
| Authorized Official Name | DR. RODNEY S. OWEN (EXECUTIVE VP) |
| Authorized Official Telephone | 6025216200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 858178 | 01 |
| Street Address |
2323 W ROSE GARDEN LN |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-2530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086507 | Eric Joseph Rodriguez | Radiology | 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 | 2005-07-14 |
| 1023653573 | Karina Mendez Colon | Physician Assistant | 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 | 2019-11-07 |
| 1912131939 | Kazal Bahl | Internal Medicine | 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 | 2009-05-05 |
| 1649415308 | Drew C Hunter | Chiropractor | 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 | 2008-12-10 |
| 1124249206 | Samuel Benjamin Braff | Radiology | 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 | 2007-05-02 |
| 1447385034 | Tyler R Scimeca | Radiology | 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 | 2007-02-22 |
| 1881776821 | Imtiaz Ahmed | Radiology | 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 | 2006-10-19 |
| 1477589075 | Valley Radiologists Ltd | Radiology | 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 | 2006-06-24 |
| 1902856701 | Judy L Greene | Radiology | 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 | 2006-05-11 |
| 1225096563 | Paul Alan Aupperle | Specialist | 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| 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.