MID COUNTY DIAGNOSTICS INC (NPI# 1396881363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396881363 |
| Entity Type | Organization |
| Organization Name | MID COUNTY DIAGNOSTICS INC |
| Practice Address |
2501 Jimmy Johnson Blvd., Suite 500 Port Arthur TX 77640 |
| Practice Telephone | 4097236605 |
| Mailing Telephone | 4097236605 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SRINIVASA RAO KOTHOPALLI (OWNER) |
| Authorized Official Telephone | 4097236605 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
2501 JIMMY JOHNSON BLVD., SUITE 500 |
| City | PORT ARTHUR |
| State | TX |
| Zip Code | 77640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275031676 | Grupo Segovia Sc | Specialist | 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 | 2018-01-31 |
| 1811495575 | Total Care Medical, Pllc | Clinic/Center | 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 | 2018-01-29 |
| 1750805586 | Bv Continuing Care Center Ltd. Co. | Skilled Nursing Facility | 8595 Medical Center Blvd., Port Arthur, TX 77640 | 2017-08-02 |
| 1053840561 | Centro Medico De Cozumel Sa De Cv | General Acute Care Hospital | Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 | 2017-06-08 |
| 1306391719 | Hector Trevino | Dentist | 2780 Fm 365, Port Arthur, TX 77640 | 2016-08-16 |
| 1316325616 | Gulfside Dental Port Arthur Pllc | Dentist | 2780 Hwy 365, Suite C, Port Arthur, TX 77640 | 2015-05-07 |
| 1962894782 | Chris Hale | Specialist/Technologist, Other | 6361 Katy Av, Port Arthur, TX 77640 | 2015-03-03 |
| 1396157681 | Jack 1 Foundation Inc. | Day Training, Developmentally Disabled Services | 235 Procter St., Port Arthur, TX 77640 | 2014-05-21 |
| 1205275054 | Gulf Coast Health Center, Inc | Clinic/Center | 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 | 2013-06-14 |
| 1285909432 | Costamed | General Acute Care Hospital | Calle Primera Sur No. 101, Cozumel, QR 77640 | 2012-03-20 |
| Find all providers in zip 77640 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of 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 |
|---|---|---|---|---|
| 1144567652 | Metroplex Radiology Pllc | Radiology | 908 Brownfield Dr, Mesquite, TX 75150-4359 | 2013-01-04 |
| 1003188376 | Interventional, Vascular & Diagnostic Associates, Pa | Radiology | 16 Crestwood Dr, Houston, TX 77007-7007 | 2012-02-02 |
| 1720147838 | Radiology Associates of North Texas Pa | Radiology | 4601 Matlock Rd, Arlington, TX 76018-1005 | 2006-12-06 |
| 1588774178 | Hamid Ahmadi | Radiology | 5820 Covehaven Dr, Dallas, TX 75252-5228 | 2006-08-30 |
| 1427014117 | Stephen Raymond Bunker | Radiology | 2712 Bee Caves Rd, Suite #122, Austin, TX 78746-5676 | 2006-04-22 |
| 1790747921 | Mir Z Alikhan | Radiology | 2722 Osler Blvd, Bryan, TX 77802-2517 | 2006-04-04 |
| 1891764239 | Michael Edward Collier | Radiology | 614 Griffith Ave, Terrell, TX 75160-1671 | 2006-03-17 |
| 1033180088 | Shahin Nassirkhani | Radiology | 3551 Roger Brooke Dr Ofc, San Antonio, TX 78234-4504 | 2006-01-29 |
| 1245201268 | Varadareddy T Reddy | Radiology | 5001 Andrews Hwy, Midland, TX 79703 | 2006-01-28 |
| 1396737961 | Radiology Associates of Abilene Pa | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-08-18 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARTHUR |
| Zip Code | 77640 |
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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.