DR. RAGHURAM S MODUR (NPI# 1528052214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528052214 |
| Entity Type | Individual |
| Full Name | DR. RAGHURAM S MODUR |
| Credential | MD |
| Practice Address |
911 Bypass Rd Leonard Lawson Cancer Center Pikeville KY 41501 |
| Mailing Address |
Po Box 2652 Pikeville KY 41502 |
| Practice Telephone | 6064373516 |
| Practice Fax Number | 6062184912 |
| Mailing Telephone | 6064373516 |
| Mailing Fax Number | 6062184912 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2014-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
20702 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM BC KY | 000000048402 | 01 | |
| KY | 64207020 | 05 |
| Street Address |
911 BYPASS RD LEONARD LAWSON CANCER CENTER |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345045 | Trevor Jones | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2005-06-09 |
| 1134736564 | Matthew Gene Damron | Pharmacist | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2020-09-29 |
| 1164051090 | Keterah F Norman | Respiratory Therapist, Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2020-04-03 |
| 1144887951 | William Albert Ison | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2019-05-28 |
| 1598226045 | Joshua Adam Mullins | Family Medicine | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2019-03-27 |
| 1801360623 | Ryan Anthony Preston | Nurse Anesthetist, Certified Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2019-01-15 |
| 1710486162 | Shylebra Lea Holbrook | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2018-02-12 |
| 1124530878 | Cynthia Acosta Pence | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2017-11-02 |
| 1598276552 | John Andrew Schultz | Nurse Anesthetist, Certified Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2017-10-18 |
| 1053820555 | Samantha Boyd | Physician Assistant | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2017-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417969064 | Joseph T. Pedersen | Radiology | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2006-08-12 |
| 1467486571 | Ruth Faye Lavigne | Radiology | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2006-07-11 |
| 1386648988 | Bradley Scott Collett | Radiology | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780190397 | Medical Associates, LLC | Radiology | 644 Maysville Rd Ste 4, Mount Sterling, KY 40353-9464 | 2017-12-19 |
| 1801259841 | Shilpa Sachdeva Larkin | Radiology | 800 Rose Street Pav H, Lexington, KY 40536-0001 | 2016-03-29 |
| 1992183065 | Denise Fabian | Radiology | Uk Radiation Medicine, 800 Rose St Ste C114d, Lexington, KY 40536-0293 | 2015-05-11 |
| 1104211341 | Alden Klarer | Radiology | 529 South Jackson, Internal Medicine, Acb 3rd Floor, Louisville, KY 40202-1622 | 2015-04-04 |
| 1417342999 | Nicolas P. Burnett | Radiology | 800 Rose St # Hq101, Lexington, KY 40536-7001 | 2015-04-01 |
| 1932468246 | Mark Edmund Bernard | Radiology | 800 Rose Stree, C114, Uk Healthcare Department of Radiation Medicine, Lexington, KY 40536-0293 | 2012-05-07 |
| 1164685012 | Jonathan Michael Feddock | Radiology | 800 Rose Street Hq-101, Lexington, KY 40536-0293 | 2008-07-09 |
| 1699844910 | Birkhead, Eckman & Scharf, P.s.c. | Radiology | 4003 Kresge Way Ste 115, Louisville, KY 40207-4652 | 2006-11-08 |
| 1659469476 | Samuel Ryan Faught | Radiology | 1020 Breckenridge St, Owensboro, KY 42303-0803 | 2006-10-10 |
| 1164513339 | Radiation Oncology Psc | Radiology | 1000 Breckenridge Street, Suite 203, Owensboro, KY 42303-0876 | 2006-09-27 |
| Find all providers with the same taxonomy | ||||
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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.