CENTRAL DAKOTA RADIOLOGISTS PC NPI 1003851841

Radiology (Diagnostic Radiology) in Bismarck, ND

NPI 1003851841 Organization Radiology Diagnostic Radiology

About CENTRAL DAKOTA RADIOLOGISTS PC

Central Dakota Radiologists Pc is a provider established in Bismarck, North Dakota specializing in radiology (diagnostic radiology) . The NPI number of Central Dakota Radiologists Pc is 1003851841 and was assigned on June 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Central Dakota Radiologists Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Matthew Stone M.d. (Secretary/treasurer)

NPI

1003851841

Provider NameCENTRAL DAKOTA RADIOLOGISTS PC
Provider Location Address900 E BROADWAY AVE BISMARCK, ND 58501
Provider Mailing Address810 E ROSSER AVE STE 201 BISMARCK, ND 58501
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-17-2006
Last Update Date01-23-2008


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

CENTRAL DAKOTA RADIOLOGISTS PC
900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501
Phone: (701) 530-7000

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Mailing Address

CENTRAL DAKOTA RADIOLOGISTS PC
810 E ROSSER AVE STE 201
BISMARCK, ND
ZIP 58501
Phone: (866) 607-5479
Fax: (920) 739-0124



Authorized Official

Authorized Official Name MATTHEW STONE M.D.
Authorized Official TitleSECRETARY/TREASURER
Authorized Official Phone(701) 530-8575

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
11952MEDICAID (05)ND
N6200MEDICARE ID-TYPE UNSPECIFIED (04)ND

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164488433DR. SANDRA LYNN MONGER PHARMD
Individual
Pharmacist900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-6990
1619915519 DOROTHY JEAN SANDER R.PH.
Individual
Pharmacist900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-6900
1972542330MR. DENNIS FRED DELABARRE R.PH.
Individual
Pharmacist900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-6920
1083654867DR. CHAD ALLEN PORSBORG PHARM.D.
Individual
Pharmacist900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-6900
1396786166MRS. CHRISTINE ANN STAAB C.R.PH TECH
Individual
Pharmacy Technician900 E BROADWAY AVE INPATIENT PHARMACY
BISMARCK, ND 58501
(701) 530-6900
1326080771 BERNADETTE H BEHM PHARMD
Individual
Pharmacist900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-6900
1063457000 HEATHER A FREITAG CRNA
Individual
Nurse Anesthetist, Certified Registered900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-8833
1184660987 JESSE LEE BREIDENBACH PHARM D
Individual
Pharmacist900 E BROADWAY AVE HOME INFUSION
BISMARCK, ND 58501
(701) 530-6890
1528096104 SAMUEL DAVID AADNES PHARMD
Individual
Pharmacist900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-6900
1235169673 NICOLE MARIE BOUSTEAD PHARM.D
Individual
Pharmacist900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-6906
1568494326MS. DAWN LYNN HERTZ PHARMD
Individual
Pharmacist900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-6928
1194732370 DEBRA J HOUDEK PA-C
Individual
Physician Assistant900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-7000
1518975747 KENTON THOMAS OMVIG PHARM.D.
Individual
Pharmacist900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-6923
1609884709 JOAN DIANE JOHNSON RPH
Individual
Pharmacist900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-6924
1114930385MRS. JENNIFER RAYE MURPHY PHARMD
Individual
Pharmacist900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-6900
1982716304MRS. ALLISON ELIZABETH GERMOLUS R.PH.
Individual
Pharmacist900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-6900
1427160860 LESLIE M RAINWATER MD
Individual
Urology900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-7000
1760567812 TERRY M JOHNSON MD
Individual
Psychiatry & Neurology (Psychiatry)900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-7000
1811073174 RICK W HOFFERBER CNP
Individual
Nurse Practitioner900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-7000
1447321567DR. DEBRA JOHNSON MCPHERSON
Individual
Pharmacist900 E BROADWAY AVE
BISMARCK, ND 58501
(701) 530-6929

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.