PK XRAY, INC (NPI# 1477733418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477733418 |
| Entity Type | Organization |
| Organization Name | PK XRAY, INC |
| Practice Address |
3379a Green Acres Rd Springdale AR 72764-0236 |
| Mailing Address |
347 S 37th St Muskogee OK 74401-4906 |
| Practice Telephone | 9186839729 |
| Practice Fax Number | 9186831012 |
| Mailing Telephone | 9186839729 |
| Mailing Fax Number | 9186831012 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2008-11-24 |
| Authorized Official Name | MR. PHILLIPS LEE KIZZIA (PRESIDENT) |
| Authorized Official Telephone | 9186839729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | RT1299 | AR | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 165224710 | 05 |
| Street Address |
3379A GREEN ACRES RD |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-0236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639651599 | Radiology Professional Management Inc | Radiologic Technologist | 102 N 17th St, Ozark, AR 72949-2349 | 2018-09-06 |
| 1063707834 | Amanda Lynette Milholland | Radiologic Technologist | 318 W Church St, Sheridan, AR 72150-2113 | 2011-06-09 |
| 1386978666 | Mark E. Schreiner | Radiologic Technologist | 349 Iroquois Rd, Royal, AR 71968-8772 | 2009-09-20 |
| 1679604409 | Jon Robert Joslin | Radiologic Technologist | Baptist Health Little Rock Mri Dept, 9601 Lile Dr Ste 118, Little Rock, AR 72205 | 2007-03-07 |
| 1174555650 | Linda Gail Gillham | Radiologic Technologist | 2019 E Race Ave, Searcy, AR 72143-4725 | 2006-07-07 |
| 1275529893 | Debra Kay Faulkner | Radiologic Technologist | 3025 N Wyatt Dr, El Dorado, AR 71730-4189 | 2005-09-20 |
| 1790048585 | Arkansas Rehabilitation Services | Radiologic Technologist | 105 Reserve St, Hot Springs, AR 71901-4195 | 2012-06-18 |
| 1437443173 | Derek S Enzs | Radiologic Technologist | 716 W Emerson St, Paragould, AR 72450-5924 | 2011-05-29 |
| 1366740227 | Shawn Wayne White | Radiologic Technologist | 11300 Financial Centre Pkwy, Suite 400, Little Rock, AR 72211-3746 | 2011-03-02 |
| 1740415033 | Kim Eileen Kuna | Radiologic Technologist | 609 N 14th St, Ozark, AR 72949-2053 | 2009-05-15 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
Please comment or provide details below to improve the information on PK XRAY, 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.