DIAGNOSTIC IMAGING SHELBYVILLE, LLC (NPI# 1003837378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003837378 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC IMAGING SHELBYVILLE, LLC |
| Other Organization Name | MEDICAL IMAGING SHELBYVILLE |
| Practice Address |
101 Stonecrest Rd Ste 2 Shelbyville KY 40065 |
| Mailing Address |
120 E Adams St Ste 4 Lagrange KY 40031-1278 |
| Practice Telephone | 5026470311 |
| Practice Fax Number | 5026476011 |
| Mailing Telephone | 5022223281 |
| Mailing Fax Number | 5022255796 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-10-31 |
| Authorized Official Name | JANNICE O AARON (PRESIDENT) |
| Authorized Official Telephone | 5022223281 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 50013806 | 05 | |
| KY | 50013647 | 05 | |
| KY | 7100001970 | 05 | |
| KY | 50013025 | 05 | |
| KY | 50013026 | 05 | |
| KY | 50013027 | 05 | |
| KY | 50013029 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Imaging Shelbyville | Other Name - Individual/Organization |
| Street Address |
101 STONECREST RD STE 2 |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346895844 | Baptist Health Medical Group Inc | Clinic/Center | 101 Stonecrest Rd, Shelbyville, KY 40065-8169 | 2019-08-02 |
| 1316216609 | Lisa Zaloudek | Nurse Practitioner | 101 Stonecrest Rd, Suite 100, Shelbyville, KY 40065-8169 | 2011-12-15 |
| 1215255336 | Robert A Banta | Clinical Nurse Specialist | 101 Stonecrest Rd, Suite 1, Shelbyville, KY 40065-8169 | 2010-05-13 |
| 1548591266 | Medical Imaging Shelbyville | Radiology | 101 Stonecrest Rd, Suite 2, Shelbyville, KY 40065-8169 | 2010-01-20 |
| 1811029580 | Andrew Richard Duffee | Orthopaedic Surgery | 101 Stonecrest Rd, Suite 2, Shelbyville, KY 40065-8169 | 2007-03-09 |
| 1790885762 | Natasha Waldenmayer Hurst | Physician Assistant | 101 Stonecrest Rd, Suite 1, Shelbyville, KY 40065-8169 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548591266 | Medical Imaging Shelbyville | Radiology | 101 Stonecrest Rd, Suite 2, Shelbyville, KY 40065-8169 | 2010-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548809262 | Jennifer Rehna Cedillo | Radiology | 25 Wh Ln, Hinkle, KY 40953-5835 | 2019-12-27 |
| 1417975459 | Jane Todd Hospital Radiological Associates,llc | Radiology | 202-206 Milby Street, Greensburg, KY 42743 | 2006-07-17 |
| 1215966478 | Sean Michael Ladson | Radiology | 4612 Crossfield Cir, Louisville, KY 40241-1425 | 2006-07-01 |
| 1770550550 | Open Mri, LLC | Radiology | 5227 Dixie Hwy, Louisville, KY 40216-1758 | 2006-03-01 |
| 1144766247 | Najla Issa Najim | Radiology | 800 Rose St, Lexington, KY 40536-0293 | 2017-01-12 |
| 1487880027 | Joseph Brian Slusher | Radiology | 3600 Cumberland Ave, Middlesboro, KY 40965-2614 | 2009-06-10 |
| 1063655660 | Paul James Spicer | Radiology | University of Kentucky, 800 Rose Street, Hx-311, Lexington, KY 40536-0001 | 2009-04-13 |
| 1497909683 | David Nickels | Radiology | 800 Rose St, Room Hx-315e, Lexington, KY 40536-0001 | 2008-11-14 |
| 1225293376 | Justin Royse Montgomery | Radiology | 800 Rose St, Hx304, Lexington, KY 40536-0001 | 2008-07-28 |
| 1811152192 | Vip Imaging, Pllc | Radiology | 4612 Crossfield Cir, Louisville, KY 40241-1425 | 2008-07-25 |
| Find all providers with the same taxonomy | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
Please comment or provide details below to improve the information on DIAGNOSTIC IMAGING SHELBYVILLE, LLC.
| 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.