IMAGING CENTER AT GLOSTER CREEK VILLAGE PLLC
NPI 1417907536
Radiology - Diagnostic Radiology in Tupelo, MS
- Organization
- Radiology
- Diagnostic Radiology
- Accepts Insurance
About IMAGING CENTER AT GLOSTER CREEK VILLAGE PLLC
This page provides the complete NPI Profile along with additional information for Imaging Center At Gloster Creek Village Pllc, a provider established in Tupelo, Mississippi operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1417907536 assigned on May 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Daniel Schaefer (Coo)
- NPI
- 1417907536 Verify this NPI
- Provider Name
- IMAGING CENTER AT GLOSTER CREEK VILLAGE PLLC
- Entity Type
- Organization
- Location Address
- 320 S GLOSTER ST TUPELO, MS 38801
- Location Phone
- (662) 841-7880
- Location Fax
- (662) 821-1888
- Mailing Address
- 320 S GLOSTER ST TUPELO, MS 38801
- Mailing Phone
- (662) 841-7880
- Mailing Fax
- (662) 821-1888
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-11-2006
- Last Update Date
- 07-21-2022
- 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
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Standardized Statewide Silver EPO - EPO
- Blue Statewide Silver EPO - EPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Molina Gold Standard - HMO
- Molina Silver Standard - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Essential (No Referrals) - EPO
- UHC Bronze Essential (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - 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.
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 |
|---|---|---|---|
| DA0120 | OTHER (01) | MEDICARE RAILROAD | |
| 09016308 | MEDICAID (05) | MS | |
| 123156800 | OTHER (01) | DEPT OF LABOR # |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
TUPELO, MS 38801
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417907536, enumerated as an "organization" on May 11, 2006.
The provider is located at 320 S GLOSTER ST TUPELO, MS 38801 and the phone number is (662) 841-7880.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Molina. Please consult your insurance carrier or call the provider to verify.
