RADIOLOGY CONSULTANTS OF NACOGDOCHES LLP (NPI# 1578512232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578512232 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY CONSULTANTS OF NACOGDOCHES LLP |
| Practice Address |
1204 N Mound St Radiology Department Nacogdoches TX 75961-4027 |
| Mailing Address |
Po Box 5370 Longview TX 75608-5370 |
| Practice Telephone | 9365688514 |
| Practice Fax Number | 9036637394 |
| Mailing Telephone | 9036634800 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | ALLEN GRISSON (PRESIDENT) |
| Authorized Official Telephone | 9365690841 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 112622901 | 05 |
| Street Address |
1204 N MOUND ST RADIOLOGY DEPARTMENT |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821180 | Sabrina Guillory | Advanced Practice Midwife | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2005-06-16 |
| 1568902294 | Nacogdoches County Hospital District | Skilled Nursing Facility | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2017-02-28 |
| 1669912564 | Nacogdoches County Hospital District | Skilled Nursing Facility | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2017-02-27 |
| 1780139956 | Ess of Nacogdoches LLC | Emergency Medicine | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2016-08-17 |
| 1558754259 | Memorial Hospital | Psychiatric Hospital | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2015-03-05 |
| 1053711804 | Nacogdoches County Hospital District | Pathology | 1204 N Mound St, Nacogdoches, TX 75961 | 2014-08-29 |
| 1710233846 | David Andrew Thomas | Family Medicine | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2012-07-26 |
| 1154691327 | Wallace D Womack | Nurse Anesthetist, Certified Registered | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2012-01-05 |
| 1942581756 | Marti Leanne Rodriguez | Dietitian, Registered | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2011-09-07 |
| 1700195013 | Vanessa Y Hooper | Dietitian, Registered | 1204 N Mound St, Dietary Department, Nacogdoches, TX 75961-4027 | 2010-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
| 1275014094 | Connie Nicole Hamner | Licensed Vocational Nurse | 214 Cr 387, Nacogdoches, TX 75961 | 2018-08-29 |
| 1689175804 | Barbara Stracener | Registered Nurse | 234 Grove Lane, Nacogdoches, TX 75961 | 2018-02-22 |
| 1710425541 | St.alyssamedical Center | Clinic/Center | 1303 N. Mound Street, Nacogdoches, TX 75961 | 2017-01-31 |
| 1609319458 | Nacogdoches Internal Medicine Pllc | Internal Medicine | 412 North St Ste E, Nacogdoches, TX 75961 | 2016-11-28 |
| 1972982866 | Deanna Ellen Bishop | Nurse Practitioner | 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 | 2015-05-25 |
| 1659798155 | Dr. Ronnie Hancock Family Dentistry, Pllc | Dental Hygienist | 1302 Raguet Street, Nacogdoches, TX 75961 | 2014-03-21 |
| 1205095585 | Chris R Chambers | Surgery | 1018 N Mound St Ste 106, Nacogdoches, TX 75961 | 2008-06-03 |
| 1972790285 | Assisted Living Concepts Inc | Assisted Living Facility | 901 Oakview Drive, Nacogdoches, TX 75961 | 2007-10-01 |
| 1356492151 | James Knox Dowling | Pediatrics | 2106 N. Raguet, Nacogdoches, TX 75961 | 2007-01-16 |
| Find all providers in zip 75961 | ||||
| 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 |
|---|---|---|---|---|
| 1275804643 | Nacogdoches Radiology Associates | Radiology | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2012-01-18 |
| 1649404849 | Harold R Levine II | Radiology | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2009-05-04 |
| 1205072469 | Krantz Radiology - Nacogdoches Pa | Radiology | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2008-12-18 |
| 1689719338 | Christopher Timothy Sherman | Radiology | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2007-02-20 |
| 1700836335 | Allen Tracy Grisson | Radiology | 1204 N Mound St, Radiology Department, Nacogdoches, TX 75961-4027 | 2006-05-12 |
| 1104875087 | Mary Beth Calme | Radiology | 1204 N Mound St, Nacogdoches Memorial Hospital Radiology Dept, Nacogdoches, TX 75961-4027 | 2006-05-09 |
| 1861441479 | David Callahan Schaff | Radiology | 1023 N Mound St, Suite F, Nacogdoches, TX 75961-4491 | 2006-05-09 |
| 1437107588 | Michael Joel Lanoux | Radiology | 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | 2006-05-04 |
| 1457316119 | Anchor Radiology Associates Pa | Radiology | 4920 Ne Stallings Dr, Nacogdoches, TX 75965 | 2006-04-18 |
| 1548225345 | Tyrrel C Grohman | Radiology | 4920 Ne Stallings Dr, Nacogdoches, TX 75965 | 2006-04-18 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75961 |
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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.