PATOKA VALLEY RADIOLOGY, PC (NPI# 1255442307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255442307 |
| Entity Type | Organization |
| Organization Name | PATOKA VALLEY RADIOLOGY, PC |
| Practice Address |
800 W 9th St Jasper IN 47546-2514 |
| Mailing Address |
721 W 13th St Ste 201 Jasper IN 47546-1817 |
| Practice Telephone | 8124822345 |
| Practice Fax Number | 8124812241 |
| Mailing Telephone | 8124812240 |
| Mailing Fax Number | 8124812241 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-07-12 |
| Authorized Official Name | DR. TIMOTHY M MCCLURE (PRESIDENT) |
| Authorized Official Telephone | 8124812240 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100110910A | 05 | |
| IN | ANTHEM | 000000104980 | 01 |
| Street Address |
800 W 9TH ST |
| City | JASPER |
| State | IN |
| Zip Code | 47546-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679571871 | Bilal Ahmed | Psychiatry & Neurology | 800 W 9th St, Jasper, IN 47546-2514 | 2005-07-12 |
| 1558974402 | Kathleen Begle | Registered Nurse | 800 W 9th St, Jasper, IN 47546-2514 | 2020-08-28 |
| 1073123022 | Cassey W Ziegler | Nurse Practitioner | 800 W 9th St, Jasper, IN 47546-2516 | 2020-08-05 |
| 1801424940 | Margaret L Boeckman-schneider | Nurse Anesthetist, Certified Registered | 800 W 9th St, Jasper, IN 47546-2514 | 2020-04-01 |
| 1184250276 | Kami Hopf | Registered Nurse | 800 W 9th St, Jasper, IN 47546-2514 | 2020-03-20 |
| 1578197596 | Autumn Leslie Acosta | Physical Therapist | 800 W 9th St, Jasper, IN 47546-2514 | 2020-02-28 |
| 1194299958 | Samantha J Spellmeyer | Nurse Practitioner | 800 W 9th St, Jasper, IN 47546-2514 | 2019-01-15 |
| 1164991808 | Maranda Helsley | Social Worker | 800 W 9th St, Jasper, IN 47546-2514 | 2018-11-23 |
| 1447735253 | Dena R Kamman-rasche | Nurse Practitioner | 800 W 9th St, Jasper, IN 47546-2514 | 2018-09-27 |
| 1760964217 | Kaitlin E Strange | Social Worker | 800 W 9th St, Jasper, IN 47546-2514 | 2018-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| 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 |
|---|---|---|---|---|
| 1487801924 | Valley Imaging Partners, P.C. | Radiology | 1000 Hwy 28, Jasper, TN 37347 | 2008-08-27 |
| 1023291903 | Walker Baptist Medical Center-mark Roberts Md | Radiology | 3400 Highway 78 East; Medical Arts Tower, Suite 218, Jasper, AL 35501-8951 | 2007-12-13 |
| 1528054293 | Marshall Ray Willis | Radiology | 1000 Highway 28, Grandview Medical Center, Jasper, TN 37347-3638 | 2005-09-27 |
| 1619977337 | Cindy L Casey | Radiology | 721 W 13th St, Jasper, IN 47546-1817 | 2005-07-22 |
| 1174951271 | Valley Medical Imaging | Radiology | 1000 Highway 28, Jasper, TN 37347-3638 | 2013-10-29 |
| 1730230210 | Heritage Radiology, PC | Radiology | 1000 Highway 28, Grandview Medical Center, Jasper, TN 37347-3638 | 2007-01-13 |
| 1619060290 | Amy C Wigand | Radiology | 800 W 9th St, Jasper, IN 47546-2514 | 2006-10-02 |
| 1831175801 | Robert F Phlegar | Radiology | 1000 Highway 28, Grandview Medical Center, Jasper, TN 37347-3638 | 2005-12-21 |
| 1073599049 | John N Galbraith | Radiology | 1000 Highway 28, Grand View Medical Center, Jasper, TN 37347-3638 | 2005-12-21 |
| 1477538163 | Kenneth J Hager | Radiology | 3400 Highway 78 E, Jasper, AL 35501-8950 | 2005-12-14 |
| Find all providers in JASPER | ||||
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| 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.