RUSSELLVILLE DIAGNOSTICS CENTER, LLC (NPI# 1568799344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568799344 |
| Entity Type | Organization |
| Organization Name | RUSSELLVILLE DIAGNOSTICS CENTER, LLC |
| Practice Address |
13150 Highway 43 Suite 11 Russellville AL 35653-4558 |
| Practice Telephone | 2563321996 |
| Practice Fax Number | 2563321998 |
| Mailing Telephone | 2563321996 |
| Mailing Fax Number | 2563321998 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |
| Authorized Official Name | RANDALL SPRADLIN (PRESIDENT) |
| Authorized Official Telephone | 2056657001 |
| 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 |
13150 HIGHWAY 43 SUITE 11 |
| City | RUSSELLVILLE |
| State | AL |
| Zip Code | 35653-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972385 | Kevin Gerard Kelly | Family Medicine | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2005-09-20 |
| 1497297493 | Nataline Evelyn Pennington | Nurse Practitioner | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2016-11-08 |
| 1902145188 | Kevin Gerard Kelly | Clinic/Center | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2013-02-07 |
| 1073866489 | Jena Williams Hamm | Nurse Practitioner | 13150 Highway 43, Ste 10, Russellville, AL 35653-4558 | 2012-10-23 |
| 1770887945 | Kevin G. Kelly, M.d. | Family Medicine | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2011-01-03 |
| 1972811453 | Yolanda Renee Ellison | Pharmacist | 13150 Highway 43, Russellville, AL 35653-4558 | 2010-09-19 |
| 1639406416 | Urgent Care of Russellville, LLC | Durable Medical Equipment & Medical Supplies | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2009-11-16 |
| 1821325606 | Urgent Care of Russellville, LLC | Clinic/Center | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2009-11-16 |
| 1689837288 | Northwest Sleep Center PC | Clinic/Center | 13150 Highway 43, Suite 13, Russellville, AL 35653-4558 | 2008-07-03 |
| 1063594539 | Russellville Musculoskeletal Center Inc. | Orthopaedic Surgery | 13150 Highway 43, Suite 12, Russellville, AL 35653-4558 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902384720 | Randy Wade Gooch | Pharmacist | 13675 Us-43, Russellville, AL 35653 | 2018-08-02 |
| 1700301470 | Carole Ann Montgomery | Pharmacist | Walmart Pharmacy, 13675 Us-43, Russellville, AL 35653 | 2017-08-03 |
| 1548632755 | Amanda Carrie Franks | Health Educator | 265 Skyline Dr, Russellville, AL 35653 | 2015-10-27 |
| 1023411220 | Wesley Charles Mayfield | Pharmacist | 14001 Hwy 43 Suite 13, Russellville, AL 35653 | 2014-10-01 |
| 1831322841 | Family Health Care Clinic, Inc. | Clinic/Center | 318 Coffee Ave Ne, Russellville, AL 35653 | 2009-08-25 |
| 1538371075 | Eyedocs On Wheels PC | Optometrist | 15255 Hwy 43, Russellville, AL 35653 | 2007-05-04 |
| 1063634574 | Russellville Physician Practices LLC | Orthopaedic Surgery | 715 Gandy Street Ne, Suite B, Russellville, AL 35653 | 2007-05-03 |
| 1750404141 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 14695 Hwy 43, Russellville, AL 35653 | 2007-04-09 |
| 1629111703 | Franklin County Health Dept Offsite Epsdt | Public Health or Welfare | 801 Highway 48, Russellville, AL 35653 | 2007-02-15 |
| 1750457941 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 318 Coffee Avenue, Russellville, AL 35653 | 2006-11-28 |
| Find all providers in zip 35653 | ||||
| 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 |
|---|---|---|---|---|
| 1467743062 | Medical Billing of Arkansas, LLC | Radiology | 209 S Portland Ave, Russellville, AR 72801-2339 | 2011-04-29 |
| 1760547293 | Cheepuloti Hanumantha Reddy | Radiology | 189 Whipoorwill Dr, Russellville, KY 42276-9777 | 2006-12-26 |
| 1033125901 | Enrique Cubillo | Radiology | 3205 W Main St, Russellville, AR 72801-2301 | 2006-07-31 |
| 1740216449 | Merwyn Murdock Crandell | Radiology | 5682 Highway 73, Russellville, AL 35653-6387 | 2006-06-24 |
| 1699744326 | Radiologists of Russellville Pa | Radiology | 3301 W Main Pl, Russellville, AR 72801-2334 | 2006-03-15 |
| 1295906121 | Russellville Diagnostic Imaging | Radiology | 1625 Nashville St, Russellville, KY 42276-8853 | 2008-03-19 |
| 1992917728 | Radiology Consultants of Northwest Arkansas | Radiology | 3205 W Main St, Russellville, AR 72801-2301 | 2007-05-04 |
| 1477583516 | Donna Charlene Crandell | Radiology | 5682 Highway 73, Russellville, AL 35653-6387 | 2006-07-04 |
| 1528001245 | James Cherry | Radiology | 3205 West Main, Russellville, AR 72801 | 2006-06-13 |
| 1184667909 | Ashley L Burnham | Radiology | 3301 W Main Pl, Russellville, AR 72801-2334 | 2006-06-13 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 35653 |
Please comment or provide details below to improve the information on RUSSELLVILLE DIAGNOSTICS CENTER, LLC.
| 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.