Unknown Individual – Diagnostic Radiology Physician, NPI 1932157377
Diagnostic Radiology Physician
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Provider Addresses for Unknown Individual
11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States
STE 500
EDEN PRAIRIE, MN 553445347
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
11418, North Canterbury Drive, Mequon, Ozaukee County, Wisconsin, 53092, United States
MEQUON, WI 530922777
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55344)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WI | 71010 | X-ray of chest, 1 view, front | 123 | 113 |
| DIAGNOSTIC RADIOLOGY | WI | 73630 | X-ray of foot, minimum of 3 views | 17 | 13 |
| DIAGNOSTIC RADIOLOGY | WI | 74177 | CT scan of abdomen and pelvis with contrast | 22 | 22 |
| DIAGNOSTIC RADIOLOGY | WI | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI |
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