MR. JAMES CENTRE KING III (NPI# 1164461315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164461315 |
| Entity Type | Individual |
| Full Name | MR. JAMES CENTRE KING III |
| Credential | M.D. |
| Practice Address |
3024 Business Park Cir Goodlettsville TN 37072-3132 |
| Practice Telephone | 6158516033 |
| Practice Fax Number | 6158512018 |
| Mailing Telephone | 6158516033 |
| Mailing Fax Number | 6158512018 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2011-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
19019 | TN | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
19019 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3083724 | 05 | |
| TN | BCBS | 3031170 | 01 |
| TN | BCBS TN | 4200812 | 01 |
| TN | 1509285 | 05 | |
| TN | BCBS | 3135911 | 01 |
| TN | BCBS | 4076235 | 01 |
| KY | KY MEDICAID | 64924616 | 01 |
| TN | CIGNA | 2550415 | 01 |
| TN | RAILROAD MEDICARE | 300108655 | 01 |
| TN | BCBS - MTI | 4291333 | 01 |
| TN | MEDICAID - MTI | 1509285 | 01 |
| TN | 3083723 | 05 | |
| RR MEDICARE - MTI | P00942161 | 01 | |
| TN | UNITED HEALTHCARE OF TN | 1640735 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215338348 | James Kevin King | Psychologist | 261 Caren Ave, Worthington, OH 43085-2526 | 2014-09-08 |
| 1649682667 | James King | Internal Medicine | 4540 S Sommerset Dr, New Berlin, WI 53151-6876 | 2014-05-26 |
| 1174899215 | James Elmore King | Chiropractor | 1671 Park Rd Ste 14, Ft Wright, KY 41011-2769 | 2012-03-22 |
| 1598038655 | James Brian King | Non-emergency Medical Transport (VAN) | 410 Magazine Ct, Bossier City, LA 71111-6262 | 2012-02-20 |
| 1285933440 | James Kenneth King | Pharmacist | 100 21st St, Nitro, WV 25143-1740 | 2011-03-26 |
| 1538355532 | James Albert King | Occupational Therapist | 4846 Wind River Rd, Idaho Falls, ID 83401-5828 | 2007-09-24 |
| 1093877508 | James G King | Physician Assistant | 1012 S Chancery St, Mc Minnville, TN 37110-3704 | 2006-12-14 |
| 1902987647 | James E King | Hearing Instrument Specialist | 1110 Highway 55, Suite 103, Hastings, MN 55033-2371 | 2006-10-18 |
| 1982795845 | James Thomas King Sr. | Social Worker | 500 10th St, Port Huron, MI 48060-4477 | 2006-09-27 |
| 1053411090 | James Ira King | Chiropractor | 865 S 500 W, Payson, UT 84651-3201 | 2006-09-22 |
| Street Address |
3024 BUSINESS PARK CIR |
| City | GOODLETTSVILLE |
| State | TN |
| Zip Code | 37072-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417952581 | Tod Raymond Bushman | Podiatrist | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2005-06-16 |
| 1225650559 | Jessica Julian | Nurse Practitioner | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2020-05-08 |
| 1083266761 | Adi Radiology, PC | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2019-07-12 |
| 1447797055 | Meghan Tomlinson Jenkins | Nurse Practitioner | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2017-01-21 |
| 1285072280 | John Michael Ponting | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2013-06-12 |
| 1184990574 | Stephen M Fisher | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072 | 2012-03-29 |
| 1356610745 | Katie H Hill | Nurse Anesthetist, Certified Registered | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2011-12-14 |
| 1215257670 | Andrew R. Hutchens | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2010-06-09 |
| 1730416249 | John Matthew Bratcher | Nurse Anesthetist, Certified Registered | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2009-11-05 |
| 1659606788 | Dana N Bonaminio | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2009-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336651140 | Listen Hear LLC | Hearing Aid Equipment | 758 Rivergate Pkwy, Goodlettsville, TN 37072 | 2017-11-02 |
| 1023551140 | Joshua Shallcross | Physical Therapy Assistant | 2182 Gallatin Pike North, Goodlettsville, TN 37072 | 2016-11-21 |
| 1578858924 | Joy R Grimes | Nurse Practitioner | 913 Conference Dr Ste 103, Goodlettsville, TN 37072 | 2011-06-14 |
| 1558552620 | Integrative Health Community | Specialist | 400 Professional Park Dr., Suite 201, Goodlettsville, TN 37072 | 2007-08-05 |
| 1669662573 | Lisa Kathryn Spencer | Physical Therapist | 813 South Dickerson Road, Goodletsville, TN 37072 | 2007-07-26 |
| 1760684799 | Counseling Services of Middle Tn, LLC | Social Worker | 420 North Main St, Goodlettsville, TN 37072 | 2007-06-01 |
| 1881818649 | Alejandrina M. Goldberg | Registered Nurse | 1242 Twelve Stones Crossing, Goodlettsville, TN 37072 | 2007-04-12 |
| 1811012792 | Hal T Farmer | Chiropractor | 511 Rivergate Pkwy, Goodlettsville, TN 37072 | 2007-03-20 |
| 1417009440 | Michael A Rhodes Sr. | Family Medicine | 105. B. Memorial Dr., Suite B, Goodlettsville, TN 37072 | 2007-01-18 |
| 1417017039 | Gwendolyn Carney | Occupational Therapist | 813 S. Dickerson Rd, Goodlettsville, TN 37072 | 2006-12-12 |
| Find all providers in zip 37072 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083266761 | Adi Radiology, PC | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2019-07-12 |
| 1285072280 | John Michael Ponting | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2013-06-12 |
| 1184990574 | Stephen M Fisher | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072 | 2012-03-29 |
| 1215257670 | Andrew R. Hutchens | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2010-06-09 |
| 1659606788 | Dana N Bonaminio | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2009-10-07 |
| 1205070851 | Manish Patel | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2009-04-27 |
| 1588807606 | George W. Dehoff IIi | Radiology | 3024 Business Park Cir, Advanced Diagnostic Imaging, PC, Goodlettsville, TN 37072-3132 | 2009-04-20 |
| 1992960298 | Gabriel Edward Starace | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2008-07-25 |
| 1396909255 | Steven Thomas Shaba | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2008-07-10 |
| 1073773982 | Matthew Renaud Bernhard | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2008-06-13 |
| Find all providers in GOODLETTSVILLE | ||||
| City | GOODLETTSVILLE |
| Zip Code | 37072 |
Please comment or provide details below to improve the information on MR. JAMES CENTRE KING III.
| 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.