| Johannes Jude Buiteweg, MD | |
|
4480 Arcada Dr, Alma, MI 48801-9593 | |
| (952) 595-1100 | |
| (612) 294-4903 |
| Full Name | Johannes Jude Buiteweg |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 4480 Arcada Dr, Alma, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285651869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 4301406677 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 4301406677 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christ Hospital | Cincinnati, OH | Hospital |
| The Jewish Hospital-mercy Health | Cincinnati, OH | Hospital |
| Mercy Health-anderson Hospital | Cincinnati, OH | Hospital |
| Fort Hamilton Hughes Memorial Hospital | Hamilton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Radiology Inc | 0941298764 | 42 |
| Professional Radiology Inc | 0941298764 | 42 |
| Entity Name | Mid-michigan Radiology Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770740581 PECOS PAC ID: 5991767782 Enrollment ID: O20041103000655 |
| Entity Name | Central Illinois Radiological Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20140505001344 |
| Entity Name | Radiology Associates Of South Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699759183 PECOS PAC ID: 5799689659 Enrollment ID: O20180129001705 |
| Entity Name | Imaging Associates Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699072611 PECOS PAC ID: 1254503345 Enrollment ID: O20190208000489 |
| Entity Name | Professional Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043348014 PECOS PAC ID: 0941298764 Enrollment ID: O20210428000408 |
| Mailing Address | Practice Location Address |
|---|---|
| Johannes Jude Buiteweg, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Johannes Jude Buiteweg, MD 4480 Arcada Dr, Alma, MI 48801-9593 Ph: (952) 595-1100 |