CLINICAL RADIOLOGISTS, PLLC (NPI# 1376792804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376792804 |
| Entity Type | Organization |
| Organization Name | CLINICAL RADIOLOGISTS, PLLC |
| Practice Address |
631 R.b. Wilson Dr Huntingdon TN 38344 |
| Mailing Address |
Po Box 1000 Dept 543 Memphis TN 38148-0001 |
| Practice Telephone | 8002747777 |
| Practice Fax Number | 9017532896 |
| Mailing Telephone | 8002747777 |
| Mailing Fax Number | 9017592896 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |
| Authorized Official Name | MR. BEN CHEATHAM (MANAGER) |
| Authorized Official Telephone | 8002747777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD0000009586 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
631 R.B. WILSON DR |
| City | HUNTINGDON |
| State | TN |
| Zip Code | 38344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801201926 | Michele Ellert | Nurse Practitioner | 710 Fairview Church Rd, Huntingdon, TN 38344 | 2014-06-26 |
| 1396064531 | Carroll Hospital Associates, Pllc | Hospitalist | 631 R. B. Wilson Drive, Huntingdon, TN 38344 | 2010-05-27 |
| 1134346869 | Christie Harris | Case Manager/Care Coordinator | 19410 West Main, Huntingdon, TN 38344 | 2007-04-20 |
| 1346390515 | State of Tennessee | Public Health or Welfare | 633 High Street, Huntingdon, TN 38344 | 2007-01-11 |
| 1609806439 | Calphor S Carty | Surgery | 641 Rb Wilson Drive, Suite J, Huntingdon, TN 38344 | 2006-07-04 |
| 1376512491 | Emily Katharine Bullock | Nurse Practitioner | 641 R B Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-03-14 |
| 1184114902 | Baptist Memorial Hospital-huntingdon | Clinic/Center | 641 Rb Wilson Dr, Huntingdon, TN 38344 | 2018-05-17 |
| 1760559827 | Rafael Mario Sanchez | Emergency Medicine | 641 Rb Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-11-30 |
| 1851317051 | Jill A. Bennett | Nurse Practitioner | 641 Rb Wilson Dr, Suite G, Huntingdon, TN 38344 | 2006-07-14 |
| 1891863627 | Charles William Bailey IIi | Dentist | 119 Church St, Huntingdon, TN 38344-0672 | 2006-12-01 |
| Find all providers in zip 38344 | ||||
| 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 |
|---|---|---|---|---|
| 1821052531 | Francis X Pessolano | Radiology | 1125 Warm Springs Ave, Huntingdon, PA 16652-2456 | 2006-04-12 |
| 1144269770 | Jack Randolph Allison | Radiology | 631 Rb Wilson Dr, Huntingdon, TN 38344-1727 | 2006-06-06 |
| 1073575890 | Raystown Imaging, Inc | Radiology | 1225 Warm Springs Ave, Huntingdon, PA 16652-2350 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417197 | West Clinic, P. C. | Radiology | 5999 Manor Cv, Memphis, TN 38120-3105 | 2020-11-04 |
| 1114528205 | West Clinic, P. C. | Radiology | 708 W Suggs Dr, Memphis, TN 38120-2741 | 2020-11-04 |
| 1447851530 | West Clinic, P. C. | Radiology | 5740 The Forest Gate Rd, Memphis, TN 38120-2540 | 2020-11-04 |
| 1720689169 | West Clinic, P. C. | Radiology | 5396 Gwynne Rd, Memphis, TN 38120-1908 | 2020-11-03 |
| 1558990788 | Sanitas Medical Center of Tennessee PC | Radiology | 438 N Cleveland St, Memphis, TN 38104-7014 | 2020-04-08 |
| 1114551132 | Lebanon Pet Scan Center, LLC | Radiology | 103 Physicians Way Ste 100, Lebanon, TN 37090-4129 | 2020-02-28 |
| 1407373053 | Association of University Radiologists, PC | Radiology | 5779 Creekwood Park Blvd Ste 130, Lenoir City, TN 37772-1203 | 2017-08-24 |
| 1023481090 | Richard Sanders | Radiology | 611 Bedford Forest Ct, Old Hickory, TN 37138-1006 | 2015-11-12 |
| 1972982569 | Lee Van Carroll Jr. | Radiology | 3601 The Vanderbilt Clinic Department of Radiology, Nashville, TN 37232-3326 | 2015-05-28 |
| 1912394495 | Eniola Oladosu Fagbongbe | Radiology | 1265 Union Ave, 7 Thomas Wing, Room 707, Memphis, TN 38104 | 2015-04-22 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGDON |
| Zip Code | 38344 |
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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.