PIKEVILLE RADIOLOGY PLLC (NPI# 1255449021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255449021 |
| Entity Type | Organization |
| Organization Name | PIKEVILLE RADIOLOGY PLLC |
| Practice Address |
911 South Bypass Road Pikeville KY 41501 |
| Mailing Address |
Po Box 2648 Pikeville KY 41502 |
| Practice Telephone | 6064321357 |
| Practice Fax Number | 6064322457 |
| Mailing Telephone | 6064321357 |
| Mailing Fax Number | 6064322457 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2013-06-06 |
| Authorized Official Name | ALEXANDER POULOS (MEMBER) |
| Authorized Official Telephone | 6064321357 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FEDERAL BLACK LUNG | 163435400 | 01 | |
| KY | 65932626 | 05 | |
| UMWA | 0958131 | 01 | |
| KY | 7100239770 | 05 | |
| KY | PALMETTO GBA RR MEDICARE | CB5786 | 01 |
| Street Address |
911 SOUTH BYPASS ROAD |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972681229 | Don Thomas Granger | Pediatrics | 911 South Bypass Road, Pikeville, KY 41501-0001 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811217375 | Anthony James Gallo | Radiology | 161 College St Ste 1, Rad: Diagnostic, Pikeville, KY 41501-4786 | 2010-06-08 |
| 1598860736 | Steven J. Krohmer | Radiology | 911 Bypass Rd # Clinic2, Pikeville, KY 41501 | 2006-09-13 |
| 1154439933 | Dennis Herman Halbert | Radiology | 911 S By Pass Rd, Pikeville, KY 41502-2648 | 2006-08-29 |
| 1164530937 | William Anthony Kendall | Radiology | 911 South By Pass Road, Pikeville, KY 41501 | 2006-08-29 |
| 1164481842 | Weiping Wang | Radiology | 911 Bypass Road Bldg A, Pikeville, KY 41501-1689 | 2006-03-21 |
| 1154649697 | Joseph Mitchell Kinner | Radiology | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2010-05-07 |
| 1427202621 | Bradley E Wells | Radiology | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2008-11-14 |
| 1861654956 | William S Coulter | Radiology | 911 Bypass Rd, 2nd Floor Clinic, Pikeville, KY 41501-1689 | 2008-06-30 |
| 1689835332 | Paul S. Matharoo | Radiology | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2008-06-24 |
| 1104006113 | Pikeville Radiology | Radiology | 387 Town Mountain Rd, Suite 106, Pikeville, KY 41501-1640 | 2007-11-07 |
| Find all providers in PIKEVILLE | ||||
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| 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.