MAYFIELD RADIOLOGISTS PSC NPI 1811186703

NPI Information

NPI: 1811186703
Provider Name: MAYFIELD RADIOLOGISTS PSC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
132 ARBOR CREST DR
MAYFIELD, KY
ZIP 42066
Phone: (270) 247-8710
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MAYFIELD RADIOLOGISTS PSC is a diagnostic radiology radiology in Mayfield, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MAYFIELD RADIOLOGISTS PSC NPI is 1811186703. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

132 ARBOR CREST DR
MAYFIELD, KY
ZIP 42066-233
Phone: (270) 247-8710
Fax: (270) 247-9564

The provider's authorized official is Sherrie A Beasley .
The authorized official title is Office Manager and has the following contact phone number (270) 247-8710.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 11/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	25079	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2344	MEDICARE PIN	KENTUCKY
2	300011148	OTHER	KENTUCKY	PALMETTO GBA MEDICARE
3	000000059857	OTHER	KENTUCKY	ANTHEM BLUE CROSS BLUE SH
4	64250798	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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