RADIOLOGISTS OF RUSSELLVILLE PA (NPI# 1699744326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699744326 |
| Entity Type | Organization |
| Organization Name | RADIOLOGISTS OF RUSSELLVILLE PA |
| Practice Address |
3301 W Main Pl Russellville AR 72801-2334 |
| Mailing Address |
P.o. Box 9178 Russellville AR 72811 |
| Practice Telephone | 4799687930 |
| Practice Fax Number | 4799681673 |
| Mailing Telephone | 4799687930 |
| Mailing Fax Number | 4799684331 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | DR. JEFFREY HALE (PRESIDENT PARTNER) |
| Authorized Official Telephone | 4799687930 |
| 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 |
AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 103880002 | 05 | |
| AR | ARKANSAS BCBS | 56763 | 01 |
| Street Address |
3301 W MAIN PL |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184667909 | Ashley L Burnham | Radiology | 3301 W Main Pl, Russellville, AR 72801-2334 | 2006-06-13 |
| 1487606760 | Daniel E Magill | Radiology | 3301 W Main Pl, Russellville, AR 72801-2334 | 2006-05-16 |
| 1457301418 | Jeffrey Hale | Radiology | 3301 W Main Pl, Russellville, AR 72801-2334 | 2006-05-11 |
| 1255391389 | Douglas Kerin | Radiology | 3301 W Main Pl, Russellville, AR 72801-2334 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| 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 |
| 1568799344 | Russellville Diagnostics Center, LLC | Radiology | 13150 Highway 43, Suite 11, Russellville, AL 35653-4558 | 2009-11-16 |
| 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 | 72801 |
Please comment or provide details below to improve the information on RADIOLOGISTS OF RUSSELLVILLE PA.
| 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.