RUSSELLVILLE DIAGNOSTIC IMAGING (NPI# 1295906121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295906121 |
| Entity Type | Organization |
| Organization Name | RUSSELLVILLE DIAGNOSTIC IMAGING |
| Practice Address |
1625 Nashville St Russellville KY 42276-8853 |
| Mailing Address |
Po Box 3339 Clarksville TN 37043-3339 |
| Practice Telephone | 2707254561 |
| Mailing Telephone | 9316475034 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-11-17 |
| Authorized Official Name | DR. TODD M TALMADGE (DIRECTOR) |
| Authorized Official Telephone | 2707254561 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD36221 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BCBS | 000000566896 | 01 |
| KY | 7100040150 | 05 | |
| RAILROAD MEDICARE | DN6583 | 01 |
| Street Address |
1625 NASHVILLE ST |
| City | RUSSELLVILLE |
| State | KY |
| Zip Code | 42276-8853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861485674 | Plj Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 1625 Nashville St, Russellville, KY 42276-8853 | 2005-08-26 |
| 1710484027 | Rp Speech Services LLC | General Acute Care Hospital | 1625 Nashville St, Russellville, KY 42276-8853 | 2018-04-12 |
| 1396150413 | Carlton Alexander Lee | Emergency Medicine | 1625 Nashville St, Russellville, KY 42276-8853 | 2014-06-26 |
| 1164604732 | Logan Memorial Hospital LLC | Emergency Medicine | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-12-05 |
| 1629295084 | Michael Bruce Taylor | Pharmacist | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-04-19 |
| 1871717066 | Logan Memorial Hospital LLC | Clinical Medical Laboratory | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-04-12 |
| 1932246659 | Logan Memorial Hospital LLC | Clinic/Center | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-01-31 |
| 1093851461 | Logan Memorial Hospital LLC | Medicare Defined Swing Bed Unit | 1625 Nashville St, Russellville, KY 42276-8853 | 2007-01-30 |
| 1861544173 | Chris Jurgensmeyer | Nurse Anesthetist, Certified Registered | 1625 Nashville St, Logan Memorial Hospital, Russellville, KY 42276-8853 | 2007-01-17 |
| 1992893416 | Logan Memorial Hospital LLC | General Acute Care Hospital | 1625 Nashville St, Russellville, KY 42276-8853 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497302723 | Community Health Centers of Western Kentucky Inc | Family Medicine | 1497 Nashville Road, Russellville, KY 42276 | 2019-08-21 |
| 1104471911 | Lashawnda Lee | Nurse Practitioner | 60 Shelton Lane, Russellville, KY 42276 | 2019-08-08 |
| 1003940867 | Russellville Ind. Schools | Local Education Agency (LEA) | 355 S Seminary St, Russellville, KY 42276 | 2007-03-15 |
| 1083756217 | Robert Ellis Allison | Dentist | 248 East 5th Street, Russellville, KY 42276 | 2007-02-13 |
| 1578602033 | Acsr, Inc. | Clinic/Center | 3239 Lewisburg Rd, Russellville, KY 42276 | 2007-02-05 |
| 1568535250 | David Guion | Pharmacist | 153 Park Square Nw, Russellville, KY 42276 | 2006-11-17 |
| 1144339177 | Dale Woodall Clark | Dentist | 204 East Fourth St, Russellville, KY 42276 | 2006-08-30 |
| 1033120662 | Darla Sherrod Barrow | Optometrist | 709 East 4th St, Russellville, KY 42276 | 2006-08-10 |
| 1265405005 | Varsha Humble | Pediatrics | 1497 Nashville St, Russellville, KY 42276 | 2006-02-10 |
| 1235139247 | Darla Sherrod Barrow | Optometrist | 709 East 4th Street, Russellville, KY 42276 | 2005-08-01 |
| Find all providers in zip 42276 | ||||
| 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 |
|---|---|---|---|---|
| 1467743062 | Medical Billing of Arkansas, LLC | Radiology | 209 S Portland Ave, Russellville, AR 72801-2339 | 2011-04-29 |
| 1760547293 | Cheepuloti Hanumantha Reddy | Radiology | 189 Whipoorwill Dr, Russellville, KY 42276-9777 | 2006-12-26 |
| 1033125901 | Enrique Cubillo | Radiology | 3205 W Main St, Russellville, AR 72801-2301 | 2006-07-31 |
| 1740216449 | Merwyn Murdock Crandell | Radiology | 5682 Highway 73, Russellville, AL 35653-6387 | 2006-06-24 |
| 1699744326 | Radiologists of Russellville Pa | Radiology | 3301 W Main Pl, Russellville, AR 72801-2334 | 2006-03-15 |
| 1568799344 | Russellville Diagnostics Center, LLC | Radiology | 13150 Highway 43, Suite 11, Russellville, AL 35653-4558 | 2009-11-16 |
| 1992917728 | Radiology Consultants of Northwest Arkansas | Radiology | 3205 W Main St, Russellville, AR 72801-2301 | 2007-05-04 |
| 1477583516 | Donna Charlene Crandell | Radiology | 5682 Highway 73, Russellville, AL 35653-6387 | 2006-07-04 |
| 1528001245 | James Cherry | Radiology | 3205 West Main, Russellville, AR 72801 | 2006-06-13 |
| 1184667909 | Ashley L Burnham | Radiology | 3301 W Main Pl, Russellville, AR 72801-2334 | 2006-06-13 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 42276 |
Please comment or provide details below to improve the information on RUSSELLVILLE DIAGNOSTIC IMAGING.
| 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.