SOUTH ABILENE RADIOLOGY LLC (NPI# 1053885699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053885699 |
| Entity Type | Organization |
| Organization Name | SOUTH ABILENE RADIOLOGY LLC |
| Practice Address |
1888 Antilley Rd Abilene TX 79606-1311 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 3254285500 |
| Practice Fax Number | 3254285519 |
| Mailing Telephone | 6157788000 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | JAMES P WRIGHT (VP, PHYSICIAN BUSINESS SERVICES) |
| Authorized Official Telephone | 6157781502 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
1888 ANTILLEY RD |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286202 | Roberta Marie Kalafut | Specialist | 1888 Antilley Rd, Abilene, TX 79606-5205 | 2005-06-21 |
| 1518436252 | Preston Luke | Registered Nurse | 1888 Antilley Rd, Abilene, TX 79606-5205 | 2018-11-23 |
| 1679068118 | Integrated Pain Associates | Anesthesiology | 1888 Antilley Rd, Abilene, TX 79606-1311 | 2018-06-27 |
| 1407287162 | Mary Norris | Nurse Practitioner | 1888 Antilley Rd, Abilene, TX 79606 | 2013-12-06 |
| 1245575786 | Jonathan Jack Hutton | Physical Therapist | 1888 Antilley Rd, Abilene, TX 79606-5205 | 2012-12-11 |
| 1548537905 | Riley Dale Holt | Physical Therapist | 1888 Antilley Rd, Abilene, TX 79606-5205 | 2011-11-29 |
| 1386864205 | Christie Lynn Beermann | Physical Therapist | 1888 Antilley Rd, Abilene, TX 79606-5205 | 2007-04-26 |
| 1386689669 | Rehabilitation Medicine Specialists | Specialist | 1888 Antilley Rd, Abilene, TX 79606-5205 | 2006-06-19 |
| 1992700413 | Edward John Brandecker | Specialist | 1888 Antilley Rd, Abilene, TX 79606-5205 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730387911 | Imaging Associates of Abilene LLC | Clinic/Center | 4349 S Treadaway Blvd, Abilene, TX 79602-7803 | 2007-07-10 |
| 1982600599 | Abilene Imaging Center LLC | Clinic/Center | 750 N 18th St, Abilene, TX 79601-3018 | 2005-06-28 |
| 1447577440 | National Pet Centers LLC | Clinic/Center | 4349 S Treadaway Blvd, Ste B, Abilene, TX 79602-7803 | 2010-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515428 | Medical Referral Services, LLC | Clinic/Center | 2450 Nasa Pkwy Ste 125, Houston, TX 77058-3784 | 2020-10-16 |
| 1275144750 | Midland Imaging Center, LLC | Clinic/Center | 2106 N. Midland Dr., Ste 101, Midland, TX 79707-5503 | 2020-08-10 |
| 1134738453 | Origin Mri and Diagnostics | Clinic/Center | 9135 Katy Fwy Ste 102, Houston, TX 77024-1636 | 2020-07-23 |
| 1538777123 | Lexington Medical Imaging, LLC | Clinic/Center | 15925 Lexington Blvd, Sugar Land, TX 77479-2314 | 2020-07-20 |
| 1871101899 | Blue Star Imaging Sa, LLC | Clinic/Center | 112 Herff Rd, Boerne, TX 78006-2747 | 2020-07-15 |
| 1396362836 | Parkhill Imaging Clearfork LLC | Clinic/Center | 5656 Edwards Ranch Rd Ste 100, Fort Worth, TX 76109-4136 | 2020-07-01 |
| 1891319083 | Parkhill Imaging Addison LLC | Clinic/Center | 17051 Dallas Pkwy Ste 200, Addison, TX 75001-7119 | 2020-06-03 |
| 1669093779 | Hi Tech Imaging, LLC | Clinic/Center | 423 Sw Military Dr, San Antonio, TX 78221-1654 | 2020-04-29 |
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1740814029 | Venus Mri & Women's Center, LLC | Clinic/Center | 24721 Tomball Pkwy Ste 150, Tomball, TX 77375-7727 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTH ABILENE RADIOLOGY 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.