Edward D Aycoth (NPI# 1225037476, PAC ID# 0143201707) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1225037476 |
PAC ID by PECOS | 0143201707 |
Professional Enrollment ID | I20100802000220 |
Full Name | Edward D Aycoth |
Organization Legal Name | PROFESSIONAL IMAGING, INC. |
Address |
200 New Hope Rd Suite 7 Princeton WV 24740-2155 |
Phone Number | 3044871076 |
Gender | M |
Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
Graduation Year | 1969 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Group Practice PAC ID | 4385625938 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
510046 | PRINCETON COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
200 New Hope Rd, Suite 7, Princeton, WV 24740-2155 | 3044871076 | PROFESSIONAL IMAGING, INC. |
200 New Hope Rd, Princeton, WV 24740-2155 | 3044871076 | PROFESSIONAL IMAGING, INC. |
Organization Legal Name | PROFESSIONAL IMAGING, INC. |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dana O Olson | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
Afzal U Ahmed | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
Wesley L Asbury Jr. | Diagnostic Radiology | Professional Imaging, Inc. | 608 New Hope Rd, Suite 7, Princeton, WV 24740-2287 |
Manuel T Franco | Diagnostic Radiology | Professional Imaging, Inc. | 608 New Hope Rd, Suite 7, Princeton, WV 24740-2287 |
Michael E Shahan | Diagnostic Radiology | Professional Imaging, Inc. | 608 New Hope Rd, Suite 7, Princeton, WV 24740-2287 |
David L Groten | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
Basim W Antoun | Diagnostic Radiology | Professional Imaging, Inc. | 608 New Hope Rd, Suite 7, Princeton, WV 24740-2287 |
Dilip B Patel | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
Street Address |
200 NEW HOPE RD SUITE 7 |
City | PRINCETON |
State | WV |
Zip | 24740-2155 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melody S Ponce | Nurse Practitioner | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
Dana O Olson | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
Afzal U Ahmed | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
Michele Evans Smith | Certified Registered Nurse Anesthetist (crna) | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
Gopal M Pardasani | Pathology | Bluefield Gastroenterology Pllc | 405 12th St, Princeton, WV 24740 |
David L Groten | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
Dilip B Patel | Diagnostic Radiology | Professional Imaging, Inc. | 12 Th St Ext, Princeton Community Hospital, Princeton, WV 24740 |
Tammie L Smith | Psychologist, Clinical | 105 Gott Rd, Princeton, WV 24740-2103 | |
Nasreen R Dar | Psychiatry | 6 Quail Valley Medical Ctr, Princeton, WV 24740-2139 | |
Shahnaz I Rana | Internal Medicine | 100 New Hope Rd, Suite 208, Princeton, WV 24740-2143 | |
Find all physicians in zip 24740 |
City | PRINCETON |
Zip Code | 24740 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | PRINCETON + DIAGNOSTIC RADIOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.