ST VINCENT NORTHWEST RADIOLOGY LLC – NPI #1114978350
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

ST VINCENT NORTHWEST RADIOLOGY LLC is a radiologist located in FISHERS, IN. NPPES has assigned the NPI number 1114978350 to ST VINCENT NORTHWEST RADIOLOGY LLC on May 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 17 years ago on Jun 18, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST VINCENT NORTHWEST RADIOLOGY LLC below.

NPI Profile for
ST VINCENT NORTHWEST RADIOLOGY LLC

NPI Number
1114978350
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST VINCENT NORTHWEST RADIOLOGY LLC
Primary location
11201 USA PKWY
SUITE 140
FISHERS, IN 46037-9202
Phone: (317) 913-8910 Fax:
Mailing address
5901 TECHNOLOGY CENTER DR
INDIANAPOLIS, IN 46278-6013
Phone: (317) 328-5050 Fax: (317) 715-9965
Organization Subpart
No
Authorized Official
LINDA WILGUS
EXECUTIVE DIRECTOR
Phone: (317) 328-5050
Updated
Identifiers

Identifiers for ST VINCENT NORTHWEST RADIOLOGY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN200182900
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.