RADIOLOGY ASSOCIATES OF ABILENE PA (NPI# 1396737961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396737961 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY ASSOCIATES OF ABILENE PA |
| Practice Address |
401 Cypress St # 110 Abilene TX 79601-5122 |
| Mailing Address |
Po Box 2898 Abilene TX 79604-2898 |
| Practice Telephone | 3256772201 |
| Practice Fax Number | 3256777641 |
| Mailing Telephone | 3256772201 |
| Mailing Fax Number | 3256777641 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | MR. RANDALL K CLOUSE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3256772201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 127266804 | 05 | |
| TX | BLUECROSSBLUE SHIELD | 00C414 | 01 |
| Street Address |
401 CYPRESS ST # 110 |
| City | ABILENE |
| State | TX |
| Zip Code | 79601-5122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043414642 | Clark David Wiginton | Radiology | 401 Cypress St, Suite 110, Abilene, TX 79601-5122 | 2007-06-14 |
| 1316929789 | Tracy A Hines | Nurse Practitioner | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-18 |
| 1124009568 | Johnny Bliznak | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-11 |
| 1477534964 | Surinder J Singh | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-10 |
| 1750362240 | Jack D Ramsey | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-10 |
| 1437130929 | Ashish C Patel | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-10 |
| 1427039304 | Michel D Dumas | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-08 |
| 1134100019 | Steven J Nitke | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-08 |
| 1043291933 | Venkata Amilineni | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-08 |
| 1174504039 | William Michael Matthew | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
| 1396303285 | Hardin-simmons University | Counselor | 917 Lineberry Blvd, Abilene, TX 79601 | 2019-06-05 |
| 1053874446 | Pharmscript of West Texas LLC | Pharmacy | 2118 E Overland Trl, Abilene, TX 79601 | 2019-04-11 |
| 1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
| 1316480684 | Thaddee Uwimana | Nurse Practitioner | 1749 Pine Street, Abilene, TX 79601 | 2016-11-18 |
| 1760938484 | Maya Natori | Specialist/Technologist | 108 Teague, Box 27916 Special Events Center Acu, Abilene, TX 79601 | 2016-09-01 |
| 1588016042 | Chucky Okoh | Nurse Practitioner | 13055 Sm 3522, Abilene, TX 79601 | 2016-07-08 |
| 1730539354 | Billy Bible | Social Worker | 1418 Newcastle Drive, Abilene, TX 79601 | 2016-06-14 |
| 1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
| 1831591395 | Abilene Christian University | Clinic/Center | 845 Coliseum Way, Abilene, TX 79601 | 2014-09-16 |
| Find all providers in zip 79601 | ||||
| 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 |
|---|---|---|---|---|
| 1164855722 | William Ryburn Gray Jr. | Radiology | 2858 Piping Rock Dr, Abilene, TX 79606-4322 | 2013-08-18 |
| 1205817186 | Eric M Schackmuth | Radiology | 6250 Us Highway 83, Abilene Regional Medical Center Radiology Department, Abilene, TX 79606-5215 | 2005-11-08 |
| 1669707501 | West Texas Radiology Group, Pa | Radiology | 6250 Us Highway 83, Radiology Department, Abilene, TX 79606-5215 | 2009-10-09 |
| 1942488531 | John Houston Bliznak | Radiology | 401 Cypress, #110, Abilene, TX 79601-5122 | 2008-02-05 |
| 1043414642 | Clark David Wiginton | Radiology | 401 Cypress St, Suite 110, Abilene, TX 79601-5122 | 2007-06-14 |
| 1144365107 | Jon T Anderson | Radiology | 401 Cypress, #110, Abilene, TX 79601-5122 | 2007-02-20 |
| 1124009568 | Johnny Bliznak | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-11 |
| 1164403648 | Michael D Montgomery | Radiology | 6250 Us Highway 83, Abilene Regional Medical Center Radiology Department, Abilene, TX 79606-5215 | 2005-11-10 |
| 1427039304 | Michel D Dumas | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-08 |
| 1134100019 | Steven J Nitke | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-08 |
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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.