PRAIRIE CREEK IMAGING LLC
NPI 1245208008
Radiology - Body Imaging in Wichita, KS

NPI Status: Active since March 09, 2006

Contact Information

500 S MAIN ST
WICHITA, KS
ZIP 67202
Phone: (316) 262-1103

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  • Organization
  • Radiology
  • Body Imaging

About PRAIRIE CREEK IMAGING LLC

This page provides the complete NPI Profile along with additional information for Prairie Creek Imaging Llc, a provider established in Wichita, Kansas operating as a Radiology, focusing in body imaging . The healthcare provider is registered in the NPI registry with number 1245208008 assigned on March 2006. The practitioner's primary taxonomy code is 2085B0100X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Prairie Creek Imaging Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Glen Shurtz Md (President)

NPI
1245208008
Provider Name
PRAIRIE CREEK IMAGING LLC
Entity Type
Organization
Location Address
500 S MAIN ST WICHITA, KS 67202
Location Phone
(316) 262-1103
Mailing Address
PO BOX 2854 WICHITA, KS 67201
Mailing Phone
(316) 685-3698
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2006
Last Update Date
08-22-2020
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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 Body Imaging

Taxonomy Code
2085B0100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Radiology doctor of Osteopathy that specializes in Body Imaging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GLEN SHURTZ MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(316) 262-1103

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
110957OTHER (01)KSBCBS
DA5653OTHER (01)RAILROAD MEDICARE

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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.
1245208008
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285401600
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 4 + 0 + 1 + 6 + 0 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1245208008 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

PREMIER PET IMAGING OF WICHITA INC

Clinic/Center

500 S MAIN ST
SUITE B
WICHITA, KS
ZIP 67202

(316) 263-4738

PREMIER OPEN MRI, INC.

Clinic/Center

(Radiology)

500 S MAIN ST
WICHITA, KS
ZIP 67202

(316) 262-1103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245208008, enumerated as an "organization" on March 09, 2006.

The provider is located at 500 S MAIN ST WICHITA, KS 67202 and the phone number is (316) 262-1103.

Radiology with taxonomy code 2085B0100X and a focus in Body Imaging.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.