MID AMERICA RADIOLOGY SC – Diagnostic Radiology Physician, NPI 1770538282

MID AMERICA RADIOLOGY SC is a healthcare provider. based in St louis, Missouri. specializing in Diagnostic Radiology Physician. The NPI Number for MID AMERICA RADIOLOGY SC is 1770538282

Main info

Organization
Name
MID AMERICA RADIOLOGY SC
NPI
1770538282
Phone
(303) 465-0401
Address
GOOD SAMARITAN HOSPITAL RADIOLOGY DEPT
Authorized Official
JERROLD C WILLIS PRESIDENT MD
Enumeration Date
23 May 2006
Last Update Date
15 March 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for MID AMERICA RADIOLOGY SC

  • GOOD SAMARITAN HOSPITAL RADIOLOGY DEPT

    PO BOX 66971 DEPT MR

    ST LOUIS, MO 631666971

    Phone: (303) 465-0401

    Fax: (303) 438-1351

    Type: Mailing

  • PO BOX 2153 DEPT 20002

    BIRMINGHAM, AL 352870001

    Phone: (303) 465-0401

    Fax: (303) 438-1351

    Type: Mailing

  • 1 GOOD SAMARITAN WAY

    RADIOLOGY DEPT

    MOUNT VERNON, IL 628642402

    Phone: (618) 242-4600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63166)

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Frequently asked questions

What federal number belongs to MID AMERICA RADIOLOGY SC?
The federal identifier for MID AMERICA RADIOLOGY SC is NPI 1770538282.
Is MID AMERICA RADIOLOGY SC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MID AMERICA RADIOLOGY SC work in?
You can think of MID AMERICA RADIOLOGY SC as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for MID AMERICA RADIOLOGY SC?
We surface St Louis, Missouri for MID AMERICA RADIOLOGY SC based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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