WEST TEXAS RADIOLOGY GROUP, PA (NPI# 1669707501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669707501 |
| Entity Type | Organization |
| Organization Name | WEST TEXAS RADIOLOGY GROUP, PA |
| Practice Address |
6250 Us Highway 83 Radiology Department Abilene TX 79606-5215 |
| Mailing Address |
Po Box 21228 Dept 232 Tulsa OK 74121-1228 |
| Practice Telephone | 3254281000 |
| Mailing Telephone | 4054867250 |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | KERRY A TRETHEWAY (MANAGER) |
| Authorized Official Telephone | 4054867250 |
| 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 |
6250 US HIGHWAY 83 RADIOLOGY DEPARTMENT |
| City | ABILENE |
| State | TX |
| Zip Code | 79606-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205817186 | Eric M Schackmuth | Radiology | 6250 Us Highway 83, Abilene Regional Medical Center Radiology Department, Abilene, TX 79606-5215 | 2005-11-08 |
| 1205435112 | Dee Angela Fanning | Nurse Practitioner | 6250 Us Highway 83, Abilene, TX 79606-5215 | 2020-10-21 |
| 1144696832 | Dustin Christensen | Nurse Anesthetist, Certified Registered | 6250 Us Highway 83, Abilene, TX 79606-5215 | 2015-08-17 |
| 1255747879 | Matthew Lee Pennington | Pharmacist | 6250 Us Highway 83, Pharmacy, Abilene, TX 79606-5215 | 2014-07-02 |
| 1760752695 | Matthew J Mitchell | Nurse Anesthetist, Certified Registered | 6250 Us Highway 83, Abilene, TX 79606-5215 | 2012-01-10 |
| 1033387212 | Sharayu V Rane | Pediatrics | 6250 Us Highway 83, Abilene, TX 79606-5215 | 2008-02-11 |
| 1750570545 | Ronald Dwayne Meador | Nurse Practitioner | 6250 Us Highway 83, Abilene, TX 79606-5215 | 2007-10-17 |
| 1578676946 | Samuel Kyle Pendleton | Nurse Anesthetist, Certified Registered | 6250 Us Highway 83, Abilene, TX 79606-5215 | 2006-08-17 |
| 1780613638 | Clinical Partners Pa Abilene | Anesthesiology | 6250 Us Highway 83, Abilene, TX 79606-5215 | 2006-07-02 |
| 1730165655 | Alfredo Bernard Cartaya | Pediatrics | 6250 Us Highway 83, Abilene, TX 79606 | 2005-12-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746793 | Tara Ann Patrick | Social Worker | Veterans Affairs, 3850 Ridgemont, Abilene, TX 79606 | 2020-09-29 |
| 1740815398 | Kevin William Regan | General Practice | 5326 Meadow Dr., Abilene, TX 79606 | 2020-03-04 |
| 1548800725 | Valentina Walls | Registered Nurse | 14 Verbena St., Abilene, TX 79606 | 2020-01-15 |
| 1932649803 | Palo Pinto County Hospital District | Skilled Nursing Facility | 6050 Hospital Drive, Abilene, TX 79606 | 2017-02-27 |
| 1679925127 | Tania Marie Oyola Rosario | Family Medicine | 6300 Regional Plz Ste 260, Abilene, TX 79606 | 2016-07-08 |
| 1972973196 | Brian Stuart | Specialist/Technologist | 4502 Antilley Rd, Abilene, TX 79606 | 2015-09-30 |
| 1255723151 | Megan Blair Greenway | Specialist/Technologist, Other | 7325 Clariece Drive, Abilene, TX 79606 | 2015-03-02 |
| 1215280698 | James T.s. O'neal II | Physician Assistant | 697 Louisianna Drive, Dyess Afb, TX 79606 | 2012-10-22 |
| 1548522675 | Chukwuemeka Charles Ezeoke | Internal Medicine | 1680 Antilley Rd Ste 120, Abilene, TX 79606 | 2012-06-14 |
| 1801152152 | Jeffrey Darren Edwards | Internal Medicine | 5302 Buffalo Gap Road, Suite 104, Abilene, TX 79606 | 2012-04-11 |
| Find all providers in zip 79606 | ||||
| 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 |
|---|---|---|---|---|
| 1164855722 | William Ryburn Gray Jr. | Radiology | 2858 Piping Rock Dr, Abilene, TX 79606-4322 | 2013-08-18 |
| 1205817186 | Eric M Schackmuth | Radiology | 6250 Us Highway 83, Abilene Regional Medical Center Radiology Department, Abilene, TX 79606-5215 | 2005-11-08 |
| 1942488531 | John Houston Bliznak | Radiology | 401 Cypress, #110, Abilene, TX 79601-5122 | 2008-02-05 |
| 1043414642 | Clark David Wiginton | Radiology | 401 Cypress St, Suite 110, Abilene, TX 79601-5122 | 2007-06-14 |
| 1144365107 | Jon T Anderson | Radiology | 401 Cypress, #110, Abilene, TX 79601-5122 | 2007-02-20 |
| 1124009568 | Johnny Bliznak | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-11 |
| 1164403648 | Michael D Montgomery | Radiology | 6250 Us Highway 83, Abilene Regional Medical Center Radiology Department, Abilene, TX 79606-5215 | 2005-11-10 |
| 1427039304 | Michel D Dumas | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-08 |
| 1134100019 | Steven J Nitke | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-08 |
| 1043291933 | Venkata Amilineni | Radiology | 401 Cypress St, # 110, Abilene, TX 79601-5122 | 2005-11-08 |
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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.