KENTUCKIANA RADIOLOGY SERVICES, INC (NPI# 1124236740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124236740 |
| Entity Type | Organization |
| Organization Name | KENTUCKIANA RADIOLOGY SERVICES, INC |
| Practice Address |
858 S Penn Ave Sellersburg IN 47172-1627 |
| Mailing Address |
Po Box 4489 Jeffersonville IN 47131-4489 |
| Practice Telephone | 5023631202 |
| Practice Fax Number | 8122464063 |
| Mailing Telephone | 5023631202 |
| Mailing Fax Number | 8122464063 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | ANGELA BOWYER (PRESIDENT) |
| Authorized Official Telephone | 5028766644 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
720043 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100406310A | 05 | |
| KY | 86011061 | 05 |
| Street Address |
858 S PENN AVE |
| City | SELLERSBURG |
| State | IN |
| Zip Code | 47172-1627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008944 | Eva De Fiesta | Physical Therapist | Carefirst Rehab, 7225nova's Landing, Sellersburg, IN 47172 | 2019-11-21 |
| 1013558394 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 651 Hamburg Way, Suite 300, Sellersburg, IN 47172 | 2019-10-08 |
| 1447774971 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7505 State Route 311, Sellersburg, IN 47172 | 2017-07-26 |
| 1093251829 | Ronda Merryman-valiyi | Health Educator | 3010 Plum Woods Ct, Sellersburg, IN 47172 | 2017-01-18 |
| 1639422348 | Mary Mollerus | Pharmacist | 2853 Plantation Court, Sellersburg, IN 47172 | 2012-10-18 |
| 1518112929 | Joyce Marie Applegate | Dental Hygienist | 809 South Indiana Avenue, Sellersburg, IN 47172 | 2008-11-26 |
| 1265696041 | Linda Kaye Abell | Occupational Therapist | 7823 Old State Hwy 60, Sellersburg, IN 47172 | 2008-07-11 |
| 1154596252 | Ronald Lee Waggoner | Counselor | 635 W Utica St, Waggoners Counseling, Sellersburg, IN 47172 | 2008-04-29 |
| 1407995806 | Michael J Moskal | Orthopaedic Surgery | 130 Hunters Station Way, Suite 201, Sellersburg, IN 47172 | 2007-02-05 |
| 1689773343 | Designing Smiles Psc | Dentist | 7709 Highway 311, Sellersburg, IN 47172 | 2006-09-21 |
| Find all providers in zip 47172 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275945925 | Radiology Medical Consultants of Indiana | Clinic/Center | 250 E Carmel Dr, Carmel, IN 46032-2635 | 2014-05-29 |
| 1619165396 | Kentuckiana Motion X-ray, Inc. | Clinic/Center | 2403 Gutford Rd, Clarksville, IN 47129-9051 | 2007-10-09 |
| 1548201452 | 1012 Investments, LLC | Clinic/Center | 9120 S County Road 800 W, Daleville, IN 47334-9421 | 2006-06-10 |
| 1578548814 | Specialized Imaging Services, Inc | Clinic/Center | 574 Bridge St, Mooresville, IN 46158-1342 | 2005-12-09 |
| 1063013761 | Convenient Ultrasounds | Clinic/Center | 10822 Lantern View Dr Apt 307, Fishers, IN 46038-4204 | 2020-11-08 |
| 1295348076 | All-stat Portable In, LLC | Clinic/Center | 3458 Stellhorn Rd Ste B, Fort Wayne, IN 46815-4630 | 2020-08-31 |
| 1053934414 | Pdi Health In LLC | Clinic/Center | 333 N Alabama St Ste 350, Indianapolis, IN 46204-2275 | 2020-05-20 |
| 1487054714 | Indiana Mobile Diagnostics LLC | Clinic/Center | 7895 Broadway, Suite V, Merrillville, IN 46410-5529 | 2014-08-22 |
| 1184032393 | Indiana Mobile Diagnostics, LLC | Clinic/Center | 7895 Broadway, Suite # V, Merrillville, IN 46410-5529 | 2014-07-31 |
| 1841621232 | Touhy Diagnostic At Home LLC | Clinic/Center | 1955 Harder Ct, Suite# E, Schererville, IN 46375-1696 | 2013-12-10 |
| Find all providers with the same taxonomy | ||||
| City | SELLERSBURG |
| Zip Code | 47172 |
Please comment or provide details below to improve the information on KENTUCKIANA RADIOLOGY SERVICES, 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.