DOWNTOWN RADIOLOGY INC (NPI# 1922035443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922035443 |
Entity Type | Organization |
Organization Name | DOWNTOWN RADIOLOGY INC |
Practice Address |
123 N. 19th St. 123 N. 19th St. Middlesboro KY 40965-4623 |
Mailing Address |
123 N 19th St Middlesboro KY 40965-2865 |
Practice Telephone | 6062483171 |
Practice Fax Number | 6062483206 |
Mailing Telephone | 6062483171 |
Mailing Fax Number | 6062483206 |
Enumeration Date | 2006-06-28 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. LULA M. BAKER (OFFICE MANAGER) |
Authorized Official Telephone | 6062483171 |
Authorized Official Credential | MANAGER |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
730019 | KY | Technologists, Technicians & Other Technical Service Providers |
X | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
269570 | KY | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | UMWA INS | 1403954 | 01 |
KY | BLACK LUNG PROGRAM | 292804 | 01 |
KY | 86010071 | 05 | |
KY | BLUEGRASS FAMILY HLTH | 885 | 01 |
KY | CHA INSURANCE | 885 | 01 |
KY | B/C B/SHIELD OF KY # | 000000073139 | 01 |
KY | ACORDIA INS | 885 | 01 |
KY | UNITED HEALTHCARE | 000816234002 | 01 |
KY | CHA INSURANCE | 7144 | 01 |
Street Address |
123 N. 19TH ST. 123 N. 19TH ST. |
City | MIDDLESBORO |
State | KY |
Zip Code | 40965-4623 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396387064 | Christopher Bruce Ellison | Social Worker | 809 19th Street, Middlesboro, KY 40965 | 2019-10-14 |
1982255030 | Johnny Wade Nantz II | Case Manager/Care Coordinator | 809 N 19th St, Middlesboro, KY 40965 | 2019-09-20 |
1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
1558843227 | Bethany Lauren Wade | Case Manager/Care Coordinator | 19th St, 809, Middlesboro, KY 40965 | 2018-08-30 |
1124521505 | Sonya Joyce Mcneil | Speech-Language Pathologist | Kidabilities Pediatric Therapy Center, 2801 Highway 25e, Suite 98, Middlesboro, KY 40965 | 2018-03-13 |
1518499862 | Vikki Lynn Johnson | Case Manager/Care Coordinator | 809 North 19th Street, Middlesboro, KY 40965 | 2017-03-28 |
1184164287 | Wilson Jeffrey | Occupational Therapist | Address: 235 New Wilson Lane, Middlesboro, KY 40965 | 2017-03-08 |
1447797444 | Lesha Loretta Williams | Physician Assistant | 2004 Cumberland Ave Ste 100, Middlesboro, KY 40965 | 2017-01-27 |
1619423910 | Audra Anissa Hall | Physical Therapist | 108 Turner Lane, Middlesboro, KY 40965 | 2016-08-28 |
1700332061 | Tammy Mclain | Counselor | Selfrefind 809 North 19th Street, Middlesboro, KY 40965 | 2016-08-28 |
Find all providers in zip 40965 |
Taxonomy Code | 2471C3402X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Radiography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952868630 | William Jason Estes | Radiologic Technologist | 100 Joshua Cir Apt 52, Berea, KY 40403-9051 | 2019-02-28 |
1124424908 | Michael Henry Dykstra | Radiologic Technologist | 5314 Bannon Crossings Dr, Buechel, KY 40218-4023 | 2014-11-06 |
1043493539 | Ms Community Health | Radiologic Technologist | 203 N 2nd St, Central City, KY 42330-1287 | 2007-12-07 |
1679607758 | Michael P Murphy | Radiologic Technologist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2007-03-14 |
1174571756 | Pikeville Medical Center Inc | Radiologic Technologist | 1500 Main Street, Inez, KY 41224 | 2006-05-05 |
City | MIDDLESBORO |
Zip Code | 40965 |
Please comment or provide details below to improve the information on DOWNTOWN RADIOLOGY INC.
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.