SPRINGFIELD RADIOLOGY ASSOCIATES, PC (NPI# 1285613141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285613141 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD RADIOLOGY ASSOCIATES, PC |
| Other Organization Name | IMAGING CONSULTANTS OF KENTUCKY |
| Practice Address |
250 Park Street Bowling Green KY 42101-1760 |
| Mailing Address |
Po Box 3125 Clarksville TN 37043-3125 |
| Practice Telephone | 2707966500 |
| Mailing Telephone | 9316475034 |
| Mailing Fax Number | 9315526663 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2013-09-16 |
| Authorized Official Name | WILLIAM J. BRANNICK (PRESIDENT) |
| Authorized Official Telephone | 9316475034 |
| 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 |
|---|---|---|---|
| TN | BCBS OF TN | 4042327 | 01 |
| KY | ANTHEM BCBS | 000000269735 | 01 |
| KY | 65940595 | 05 | |
| DEPT. OF LABOR | 020289899 | 01 | |
| AETNA | 7916327 | 01 | |
| TN | 3375149 | 05 | |
| TN | RR MEDICARE | CJ8639 | 01 |
| KY | RR MEDICARE | DO0012 | 01 |
| Other Name | Type Code |
|---|---|
| IMAGING CONSULTANTS OF KENTUCKY | Doing Business As Name - Organization |
| Street Address |
250 PARK STREET |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497053714 | Shanna D. Kozak | Nurse Practitioner | 250 Park Street, Bowling Green, KY 42101-1780 | 2011-03-10 |
| 1124332200 | Walker T. Edwards | Internal Medicine | 250 Park Street, Bowling Green, KY 42101-1784 | 2010-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| 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 |
|---|---|---|---|---|
| 1174604334 | Advanced Radiologic Physicians, Inc. | Radiology | 950 W. Wooster St., Bowling Green, OH 43402-2603 | 2006-10-17 |
| 1477542942 | Kevin Lyn Burner | Radiology | 1801 Ashley Cir, Bowling Green, KY 42104 | 2005-10-18 |
| 1497873525 | Premier Radiology Services Psc | Radiology | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2007-03-27 |
| 1801921507 | Anthony R Arauz | Radiology | 201 Park St, Bowling Green, KY 42101-1759 | 2007-02-22 |
| 1366547572 | Ladonna Sharon Smith | Radiology | 250 Park St, Department of Radiology, Bowling Green, KY 42101-1760 | 2006-09-13 |
| 1922035393 | Commonwealth Health Corporation | Radiology | 250 Park St, Bowling Green, KY 42101-1760 | 2006-06-28 |
| 1154367878 | Jason I. Lindsey | Radiology | 250 Park St, Bowling Green, KY 42101-1760 | 2006-06-21 |
| 1760443840 | Delon N Hebron | Radiology | 250 Park St, Bowling Green, KY 42101-1760 | 2006-03-29 |
| 1730152398 | James T. Gray | Radiology | 250 Park St, Bowling Green, KY 42101-1760 | 2006-02-13 |
| 1124091913 | Allen O. Powell | Radiology | 250 Park St, Bowling Green, KY 42101-1760 | 2006-02-10 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
Please comment or provide details below to improve the information on SPRINGFIELD RADIOLOGY ASSOCIATES, PC.
| 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.