JAN H BREKKE MD
NPI 1083603039
Radiology - Diagnostic Radiology in Glendale, AZ
NPI Status: Active since October 20, 2005
Contact Information
5322 W NORTHERN AVE
GLENDALE, AZ
ZIP 85301
Phone: (480) 425-5063
Fax: (623) 915-6924
- Individual
- Male
- Years of Experience 33
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JAN BREKKE
This page provides the complete NPI Profile along with additional information for Jan Brekke, a provider established in Glendale, Arizona with a medical specialization in Radiology, focusing in diagnostic radiology and more than 33 years of experience. He graduated from University Of Wisconsin School Of Medicine in 1993. The healthcare provider is registered in the NPI registry with number 1083603039 assigned on October 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 27440 (AZ). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1083603039
- Provider Name
- JAN H BREKKE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5322 W NORTHERN AVE GLENDALE, AZ 85301
- Location Phone
- (480) 425-5063
- Location Fax
- (623) 915-6924
- Mailing Address
- 5322 W NORTHERN AVE GLENDALE, AZ 85301
- Mailing Phone
- (480) 425-5063
- Mailing Fax
- (623) 915-6924
- Medical School Name
- UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
- Graduation Year
- 1993
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-20-2005
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 27440
- License State
- AZ
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
- CGHC Gold Standard $1500 - Envision Network - EPO
- CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver Standard $5000 - Envision Network - EPO
- CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
476079 | OTHER (01) | AZ | AHCCCS |
279294 | MEDICARE ID-TYPE UNSPECIFIED (04) | AZ | |
28532 | OTHER (01) | AZ | VRL |
H00839 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Jan Brekke is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jan Brekke is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9335139229
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20080815000615
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Ct scan of abdomen and pelvis with contrast
Ct scan of abdomen and pelvis with contrast
Ct scan of blood vessels of chest with contrast
Ct scan of chest with contrast
Limited ultrasound scan of abdomen
Mri scan of abdomen before and after contrast
Nuclear medicine study from skull base to mid-thigh with ct scan
Nuclear medicine study whole body with ct scan
Ultrasound of both sides of head and neck blood flow
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
X-ray of abdomen, 1 view
X-ray of abdomen, 1 view
X-ray of ankle, minimum of 3 views
X-ray of ankle, minimum of 3 views
X-ray of chest, 1 view
X-ray of chest, 2 views
X-ray of chest, 2 views
X-ray of foot, minimum of 3 views
X-ray of foot, minimum of 3 views
X-ray of hip, 2-3 views
X-ray of hip, 2-3 views
X-ray of knee, 1-2 views
X-ray of knee, 1-2 views
X-ray of knee, 4 or more views
X-ray of knee, 4 or more views
X-ray of lower and sacral spine, 2-3 views
X-ray of lower and sacral spine, 2-3 views
X-ray of pelvis, 1-2 views
X-ray of shoulder, 1 view
X-ray of shoulder, minimum of 2 views
X-ray of shoulder, minimum of 2 views
X-ray of upper spine, 2-3 views
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 12 times for 12 patientsA CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
This service was performed 11 times for 11 patientsA CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
This service was performed 11 times for 11 patientsA CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
This service was performed 12 times for 12 patientsA limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
This service was performed 11 times for 11 patientsAn MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
This service was performed 19 times for 19 patientsA nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
This service was performed 65 times for 60 patientsA Nuclear Medicine Study with a CT Scan is a diagnostic procedure. It uses a small amount of radioactive substance and a CT scan to create detailed images of your body. These images help doctors diagnose, monitor, and treat various conditions.
This service was performed 13 times for 13 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 14 times for 14 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 13 times for 13 patientsAn X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
This service was performed 38 times for 36 patientsAn X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
This service was performed 35 times for 34 patientsAn ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
This service was performed 16 times for 16 patientsAn ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
This service was performed 13 times for 13 patientsA chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
This service was performed 217 times for 197 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 86 times for 78 patientsA chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
This service was performed 154 times for 150 patientsAn X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
This service was performed 15 times for 15 patientsAn X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
This service was performed 17 times for 17 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 33 times for 31 patientsAn X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
This service was performed 26 times for 26 patientsAn X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
This service was performed 23 times for 23 patientsAn X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
This service was performed 16 times for 14 patientsAn X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
This service was performed 32 times for 31 patientsAn X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
This service was performed 20 times for 19 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
This service was performed 17 times for 16 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
This service was performed 34 times for 34 patientsAn X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
This service was performed 23 times for 21 patientsAn X-ray of the shoulder, 1 view, is a quick, painless test that produces images of the bones and tissues within your shoulder. It helps diagnose conditions such as fractures, infections, or arthritis. You'll be positioned to capture the best view, then a small dose of radiation creates the image.
This service was performed 14 times for 14 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 37 times for 36 patientsAn X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
This service was performed 42 times for 42 patientsAn X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
This service was performed 16 times for 16 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.47 for a new patient copayment and $17.31 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 85301 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.89
- Minimum New Patient Price $55.44
- Maximum New Patient Price $168.6
- Average New Patient Copayment $21.47
- Minimum New Patient Copayment $13.86
- Maximum New Patient Copayment $42.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.24
- Minimum Established Patient Price $17.72
- Maximum Established Patient Price $137.41
- Average Established Patient Copayment $17.31
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $34.35
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jan Brekke is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC | 1818 N MEADE ST APPLETON, WI 54911 | (920) 731-4101 | Acute Care Hospitals | |
THEDACARE MEDICAL CENTER - SHAWANO | 100 COUNTY RD B SHAWANO, WI 54166 | (715) 526-2111 | Critical Access Hospitals | |
BERLIN MEMORIAL HOSPITAL | 225 MEMORIAL DRIVE BERLIN, WI 54923 | (920) 361-1313 | Critical Access Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 8 | 3 | 6 | 0 | 3 | 0 | 3 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 16 | 3 | 12 | 0 | 6 | 0 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 1 + 6 + 3 + 1 + 2 + 0 + 6 + 0 + 6 + 24 = 51 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 51 = 9 | 9 |
The NPI number 1083603039 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
AUSTIN L SPITZER MD
Radiology
(Diagnostic Radiology)
5322 W NORTHERN AVE
SOUTHWEST DIAGNOSTIC IMAGING LTD
GLENDALE, AZ
ZIP 85301
H JAMES VANDOLAH MD
Radiology
(Diagnostic Radiology)
5322 W NORTHERN AVE
SOUTHWEST DIAGNOSTIC IMAGING LTD
GLENDALE, AZ
ZIP 85301
JEFFREY H WATTERS MD
Radiology
(Diagnostic Radiology)
5322 W NORTHERN AVE
SOUTHWEST DIAGNOSTIC IMAGING LTD
GLENDALE, AZ
ZIP 85301
WALTER H MAGEN MD
Radiology
(Diagnostic Radiology)
5322 W NORTHERN AVE
SOUTHWEST DIAGNOSTIC IMAGING LTD
GLENDALE, AZ
ZIP 85301
JOHN H MABRY MD
Radiology
(Diagnostic Radiology)
5322 W NORTHERN AVE
SOUTHWEST DIAGNOSTIC IMAGING LTD
GLENDALE, AZ
ZIP 85301
HOWARD B FLEISHON MD
Radiology
(Diagnostic Radiology)
5322 W NORTHERN AVE
GLENDALE, AZ
ZIP 85301
DARYL P BEABEAU MD
Radiology
(Diagnostic Radiology)
5322 W NORTHERN AVE
SOUTHWEST DIAGNOSTIC IMAGING LTD
GLENDALE, AZ
ZIP 85301
PHILLIP M MOESER MD
Radiology
(Diagnostic Radiology)
5322 W NORTHERN AVE
SOUTHWEST DIAGNOSTIC IMAGING LTD
GLENDALE, AZ
ZIP 85301
PETER M STEINBERG MD
Radiology
(Diagnostic Radiology)
5322 W NORTHERN AVE
GLENDALE, AZ
ZIP 85301
EUGENE OH MD
Radiology
(Diagnostic Radiology)
5322 W NORTHERN AVE
SOUTHWEST DIAGNOSTIC IMAGING LTD
GLENDALE, AZ
ZIP 85301
KIRK A BUCON MD
Radiology
(Diagnostic Radiology)
5322 W NORTHERN AVE
SOUTHWEST DIAGNOSTIC IMAGING LTD
GLENDALE, AZ
ZIP 85301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083603039, enumerated in the NPI registry as an "individual" on October 20, 2005
The provider is located at 5322 W Northern Ave Glendale, Az 85301 and the phone number is (480) 425-5063
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider has more than 33 years of experience. He graduated from University Of Wisconsin School Of Medicine in 1993.
The provider might be accepting Accepts: Common Ground Healthcare Cooperative, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of July 02, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.89 with an average copayment of $21.47 for new patient appointments. Established patients should expect a typical charge of $69.24 and an average copayment of 17.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis with contrast, Ct scan of blood vessels of chest with contrast, Ct scan of chest with contrast, Limited ultrasound scan of abdomen, Mri scan of abdomen before and after contrast, Nuclear medicine study from skull base to mid-thigh with ct scan, Nuclear medicine study whole body with ct scan, Ultrasound of both sides of head and neck blood flow, Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes, X-ray of abdomen, 1 view, X-ray of abdomen, 1 view, X-ray of ankle, minimum of 3 views, X-ray of ankle, minimum of 3 views, X-ray of chest, 1 view, X-ray of chest, 2 views, X-ray of chest, 2 views, X-ray of foot, minimum of 3 views, X-ray of foot, minimum of 3 views, X-ray of hip, 2-3 views, X-ray of hip, 2-3 views, X-ray of knee, 1-2 views, X-ray of knee, 1-2 views, X-ray of knee, 4 or more views, X-ray of knee, 4 or more views, X-ray of lower and sacral spine, 2-3 views, X-ray of lower and sacral spine, 2-3 views, X-ray of pelvis, 1-2 views, X-ray of shoulder, 1 view, X-ray of shoulder, minimum of 2 views, X-ray of shoulder, minimum of 2 views and X-ray of upper spine, 2-3 views.
The practitioner is affiliated to the following hospital(s): THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC, THEDACARE MEDICAL CENTER - SHAWANO and BERLIN MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on October 20, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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