DIAGNOSTIC RADIOLOGY OF LONDON (NPI# 1245376243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245376243 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC RADIOLOGY OF LONDON |
| Other Organization Name | ADVANCED IMAGING AND OPEN MRI |
| Practice Address |
1455 E Hwy 90 By-pass Unit #4 Monticello KY 42633 |
| Mailing Address |
202 W 7th St London KY 40741-1763 |
| Practice Telephone | 6063400009 |
| Mailing Telephone | 6068642221 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | DR. ERIC D JOHNSON (RADIOLOGIST) |
| Authorized Official Telephone | 6068642221 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 33556 | KY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LICENCE | 33556 | 01 |
| KY | 64353568 | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Imaging and Open MRI | Doing Business As Name - Organization |
| Street Address |
1455 E HWY 90 BY-PASS UNIT #4 |
| City | MONTICELLO |
| State | KY |
| Zip Code | 42633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963431 | Morgan Dishman | Pharmacist | 126 Franklin Dr, Monticello, KY 42633 | 2020-08-20 |
| 1942847686 | Burgess Drug Store Inc. | Pharmacy | 1 S. Creek Dr., Ste. #122, Monticello, KY 42633 | 2019-12-02 |
| 1639729460 | Lake Cumberland Therapy Center, Inc. | Developmental Therapist | 153 High Street, Monticello, KY 42633 | 2019-09-13 |
| 1053964965 | Faith Healthcare Inc | Nurse Practitioner | 126 Franklin Drive, Monticello, KY 42633 | 2019-07-19 |
| 1669936621 | Alisa D Wallace | Case Manager/Care Coordinator | 803 Columbia Ave, Monticello, KY 42633 | 2019-01-24 |
| 1194232207 | Jacob Dudley Coffey | Nurse Practitioner | 1 S Creek Dr Ste 102606, Monticello, KY 42633 | 2018-01-10 |
| 1245581578 | Joleen Nyesa Levering | Pharmacist | 1078 North Main Streeet, Monticello, KY 42633 | 2012-09-26 |
| 1194085977 | Steven M Tallent II | Dentist | 1225 N. Main St., Brummett Cosmetic and Family Dentistry, Monticello, KY 42633 | 2012-05-25 |
| 1639241433 | Hicks Enterprises of Monticello, LLC | Nursing Facility/Intermediate Care Facility | 1801 W. Hwy. 90 By-pass, Monticello, KY 42633 | 2006-11-15 |
| 1720160526 | Cumberland Gastroenterology, P.s.c. | Nurse Practitioner | 1 Southcreek Drive, Monticello, KY 42633 | 2006-10-20 |
| Find all providers in zip 42633 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033651914 | Adrienne D Stephens | Specialist | 306 W Shelton St Lot 1, Monticello, AR 71655-4732 | 2016-11-09 |
| 1396095139 | Raquel Bottaro | Specialist | 504 South Woods Rd, Monticello, NY 12701 | 2012-09-19 |
| 1891053138 | Ryan Fentley Garcia Manuel | Specialist | 427 Broadway Ste 3, Monticello, NY 12701-1743 | 2012-04-24 |
| 1720218241 | Stephanie Martin | Specialist | 4660 Highway 1275 N, Monticello, KY 42633-7241 | 2009-07-17 |
| 1548488513 | Marcia Lynn Hunt | Specialist | 1490 W Washington St, Monticello, FL 32344-1132 | 2007-04-23 |
| 1942259593 | Daniel H Frenning | Specialist | 1001 Hart Blvd, Suite 50, Monticello, MN 55362-8670 | 2006-05-10 |
| 1841250040 | Billy Joe Bardin | Specialist | 380 W. 100 N., Monticello, UT 84535-0308 | 2006-03-23 |
| 1316940109 | Devanshu V. Kansara | Specialist | 1001 Hart Blvd Ste 100, Monticello Clinic, Monticello, MN 55362-8929 | 2005-05-24 |
| 1962920520 | Cassandra Liane Babcock | Specialist | 504 Southwoods Dr, Monticello, NY 12701-7231 | 2017-09-05 |
| 1316201858 | Karen Mccarthy | Specialist | 504 Southwoods Dr, Monticello, NY 12701-7231 | 2012-06-29 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 42633 |
Please comment or provide details below to improve the information on DIAGNOSTIC RADIOLOGY OF LONDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.