PARKERSBURG RADIOLOGY, LLC (NPI# 1407985781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407985781 |
| Entity Type | Organization |
| Organization Name | PARKERSBURG RADIOLOGY, LLC |
| Practice Address |
800 Grand Central Mall Suite 7 Vienna WV 26105-4100 |
| Mailing Address |
Po Box 779 Parkersburg WV 26102-0779 |
| Practice Telephone | 3044223916 |
| Practice Fax Number | 3044854466 |
| Mailing Telephone | 3044223916 |
| Mailing Fax Number | 3044854466 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | W. MICHAEL HENSLEY (PRESIDENT) |
| Authorized Official Telephone | 3044223916 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
800 GRAND CENTRAL MALL SUITE 7 |
| City | VIENNA |
| State | WV |
| Zip Code | 26105-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051390 | Robert Randal Heavner | Family Medicine | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4131 | 2005-05-24 |
| 1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
| 1982080057 | Amanda Holman | Registered Nurse | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 | 2015-07-30 |
| 1073903373 | Mid-ohio Valley Nephrology Association | Family Medicine | 800 Grand Central Mall, Suite 9, Vienna, WV 26105-4100 | 2015-01-26 |
| 1801204003 | William A Cline, Do, Pllc | Surgery | 800 Grand Central Mall, Suite 2, Vienna, WV 26105-4100 | 2014-07-31 |
| 1932459542 | Heather Nichole Nutter | Audiologist | 800 Grand Central Mall, Suite 11, Vienna, WV 26105-4100 | 2012-09-12 |
| 1215284997 | Pamela J Parker | Nurse Practitioner | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 | 2012-08-13 |
| 1609139906 | First Settlement Orthopaedics Inc | Orthopaedic Surgery | 800 Grand Central Mall, Suite 6, Vienna, WV 26105-4100 | 2012-06-21 |
| 1720368483 | Matthew Dean Sells | Physical Therapist | 800 Grand Central Mall, Suite 1, Vienna, WV 26105-4100 | 2011-08-25 |
| 1265732093 | Megan Ann Fluharty | Physician Assistant | 800 Grand Central Mall, Ste 3, Vienna, WV 26105-4100 | 2010-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1538555206 | Cecilia Velarde Harrington | Internal Medicine | 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 | 2015-04-09 |
| 1568854974 | Kathryn Eileen Epkey | Student in an Organized Health Care Education/Training Program | 411 28th Street, Vienna, WV 26105 | 2015-02-21 |
| 1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
| 1578521407 | John A Stavrakis | Optometrist | 701 Grand Central Ave, Vienna, WV 26105 | 2006-05-02 |
| 1881203149 | Charlene Rein | Dentist | 501 Grand Central Ave, Vienna, WV 26105 | 2020-07-23 |
| 1891355434 | Mohamed Moustafa Meky | Dentist | 501 Grand Central Ave, Parkersburg, WV 26105 | 2019-06-17 |
| 1568990091 | Jonathon Ray Barbosa Scott | Specialist/Technologist | 1 Campus Drive, Vienna, WV 26105 | 2017-05-29 |
| 1356772677 | Drs. Krajekian,brock & Henderson Inc | Dentist | 417 Grand Park Dr, Suite 103, Parkersburg, WV 26105 | 2013-12-12 |
| Find all providers in zip 26105 | ||||
| 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 |
|---|---|---|---|---|
| 1275648131 | Annapurna Chavali Rao | Radiology | 9900 Vale Rd, Vienna, VA 22181-4074 | 2006-08-20 |
| 1417915711 | Tyson's Corner Diagnostic Imaging Inc | Radiology | 8320 Old Courthouse Rd, Suite 130-b, Vienna, VA 22182-3831 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555418 | Greenbrier Signature Health Inc | Radiology | 40823 Midland Trl E, White Sulphur Springs, WV 24986-5064 | 2019-03-01 |
| 1588149348 | East Mountain Health Physicians, Inc. | Radiology | 97 Administrative Dr Ste 200a, Martinsburg, WV 25404-6378 | 2018-09-27 |
| 1942612197 | Health and Education Building-urgent Care | Radiology | 390 Birch Street Suite B, Morgantown, WV 26506-6894 | 2014-05-22 |
| 1467795591 | Philip Connor Louden | Radiology | 1 Medical Center Dr, Room 1144, Morgantown, WV 26506 | 2013-03-27 |
| 1639417728 | Paul Lewis Kupferberg | Radiology | 122 Wedgewood Dr, Parkersburg, WV 26104-9229 | 2013-01-23 |
| 1871818872 | Cara M Bryan | Radiology | 1 Medical Center Drive 9001a, Morgantown, WV 26506 | 2010-04-01 |
| 1114109683 | Community Health Systems Inc. | Radiology | 200 Carriage Dr, Beckley, WV 25801-2876 | 2007-11-27 |
| 1275753576 | Mountaineer Imaging Center | Radiology | 60 R H L Blvd, Charleston, WV 25309-8278 | 2007-04-27 |
| 1275671117 | Krishnajivan Chhabildas Shah | Radiology | 466 Irish St, Summersville, WV 26651-1818 | 2007-02-02 |
| 1194810796 | Michael Christopher Macatol | Radiology | 1320 12th St, B3, Huntington, WV 25701 | 2006-10-03 |
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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.