PROFESSIONAL MRI, LLC (NPI# 1477579084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477579084 |
Entity Type | Organization |
Organization Name | PROFESSIONAL MRI, LLC |
Practice Address |
803 Eastern Byp Richmond KY 40475-2751 |
Mailing Address |
Po Box 1429 Frankfort KY 40602-1429 |
Practice Telephone | 8596238823 |
Practice Fax Number | 8596238810 |
Mailing Telephone | 5022263858 |
Mailing Fax Number | 5022239829 |
Enumeration Date | 2006-07-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | BENJAMIN HOMER MCQUAIDE (PRESIDENT) |
Authorized Official Telephone | 8596238823 |
Authorized Official Credential | M.D. |
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 |
---|---|---|---|
KY | ANTHEM GROUP PIN | 000000310923 | 01 |
KY | 65939126 | 05 |
Street Address |
803 EASTERN BYP |
City | RICHMOND |
State | KY |
Zip Code | 40475-2751 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
Find all providers in zip 40475 |
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 |
---|---|---|---|---|
1336623123 | Dominion Imaging LLC | Radiology | 6600 W Broad St Ste 200, Richmond, VA 23230-1709 | 2018-09-18 |
1497140644 | Eric Young You | Radiology | Pob 980615, 1250 E. Marshall St, Richmond, VA 23298-0615 | 2015-04-04 |
1871869875 | Charles Wilbur Yates Jr. | Radiology | 1709 Hawthorn Dr, Richmond, TX 77469-4819 | 2012-03-24 |
1740570597 | Joel Prithvi Pereira | Radiology | 1201 Broad Rock Blvd Dept Of, Richmond, VA 23249-1009 | 2011-04-13 |
1760716708 | Charles Pinckney Winkler Sr. | Radiology | 8952 Bellefonte Rd, Richmond, VA 23229-7151 | 2009-09-23 |
1467628636 | Susanna Spence | Radiology | 22111 Skyridge Lane, Richmond, TX 77469 | 2008-05-07 |
1922208701 | Buford Road Imaging LLC | Radiology | 8923 Three Chopt Road, Ste 103, Richmond, VA 23229 | 2007-07-20 |
1922208719 | Short Pump Imaging LLC | Radiology | 9930 Independence Park Dr., Ste 100, Richmond, VA 23233 | 2007-07-20 |
1487861720 | Atul Kumar Gupta | Radiology | 329 Wickham Glen Dr, Richmond, VA 23238-6161 | 2007-05-17 |
1447463658 | Matthew J Austin | Radiology | 5801 Bremo Rd Ste 208, Richmond, VA 23226-1907 | 2007-05-07 |
Find all providers in RICHMOND |
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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.