Kyle Shipley Diagnostic Radiology
1723 A Beam Ave, Maplewood, MN 55109-1128


Kyle Shipley is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1841408200. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6507995339. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is MAPLEWOOD IMAGING CENTER, LLC. The address is 1723 A Beam Ave, Maplewood, MN 55109-1128. The zip code is 55109.


Kyle Shipley · 1723 A Beam Ave, Maplewood, MN 55109-1128

Nation Provider ID 1841408200
PAC ID by PECOS 6507995339
Professional Enrollment ID I20150521002513
Last Name SHIPLEY
First Name KYLE
Gender M
Medical School Name UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year 2005
Primary Specialty DIAGNOSTIC RADIOLOGY
Primary Specialty MAPLEWOOD IMAGING CENTER, LLC
Phone Number 6517474500
Group Practice PAC ID 9133298656
Number of Group Practice Members 56
Address 1723 A BEAM AVE
MAPLEWOOD, MN 551091128
Claims Based Hospital Affiliation Claim Control Number (CCN): 240106
Legal Business Name: REGIONS HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 240063
Legal Business Name: ST JOSEPH'S HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 240210
Legal Business Name: HEALTHEAST ST JOHN'S HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 240213
Legal Business Name: HEALTHEAST WOODWINDS HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 240038
Legal Business Name: UNITED HOSPITAL
Professional accepts Medicare Assignment Y
Report Quality Measures Y

Maplewood Imaging Center, LLC · Medicare Physician

Name Address Specialty
Anders Knutzen 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Caroline Ho 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Timothy Goertzen 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Christopher Jackson 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Paul Mulcahy 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Michael Grogan 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Jorge Leon 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Andrew Hartigan 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY

Zip 55109 · Diagnostic Radiology · Medicare Physician

Name Address Specialty
Paul Mulcahy 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Andrew Hartigan 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Anders Knutzen 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Caroline Ho 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Michael Grogan 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Christopher Jackson 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Timothy Goertzen 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Jorge Leon 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY

Zip 55109 · Medicare Physician

Name Address Specialty
Julie Vogel 3100 Kennard St, Maplewood, MN 55109-4569 FAMILY PRACTICE
Emily Coffman 1570 Beam Ave, Maplewood, MN 55109-3137 PHYSICAL THERAPY
Ashley Tix 1655 Beam Ave, Maplewood, MN 55109-1477 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Gail Smida 1570 Beam Ave, Maplewood, MN 55109-3137 PHYSICAL THERAPY
Kenneth Hoj 1650 Beam Ave, Maplewood, MN 55109-1147 NEUROLOGY
Jeanny Liu-wu 3001 White Bear N Ave, Saint Paul, MN 55109-1215 OPTOMETRY
Ericka Koch 1850 Beam Ave, Maplewood, MN 55109-1162 OPTOMETRY
Todd Watanabe 1675 Beam Ave, Maplewood, MN 55109-1478 OPHTHALMOLOGY
Sheryl Notaro 1570 Beam Ave, Maplewood, MN 55109-3137 PHYSICAL THERAPY
Krista Spanier 2495 Maplewood Dr, Maplewood, MN 55109-1985 SPEECH LANGUAGE PATHOLOGIST
Elaine Ito 1570 Beam Ave, Maplewood, MN 55109-3137 PHYSICAL THERAPY
Christopher Jackson 1723 A Beam Ave, Maplewood, MN 55109-1128 DIAGNOSTIC RADIOLOGY
Hassan Salameh 1575 Beam Ave, Maplewood, MN 55109-1126 NEPHROLOGY
Richelle Krueger Peterson 2516 - 7th Ave E, North Saint Paul, MN 55109-3003 CHIROPRACTIC
Janet Carlson-casa De Calvo 1570 Beam Ave, Maplewood, MN 55109-3137 PHYSICAL THERAPY
Joanne Votel 1737 Beam Ave, Maplewood, MN 55109-2185 OBSTETRICS/GYNECOLOGY
Eric Starbuck 2485 Maplewood Dr, Maplewood, MN 55109-1980 CHIROPRACTIC
Kristina Smith Mcdermott 3100 Kennard St, Maplewood, MN 55109-4569 FAMILY PRACTICE
Debra Kratz 2085 E County Rd D, Maplewood, MN 55109-5364 CLINICAL SOCIAL WORKER
John Schneider 2597 7th Ave E, North St Paul, MN 55109-3104 CHIROPRACTIC