Organization Active NPI

X-Ray Associates

  • Diagnostic Radiology Physician
  • Hartford, KY
National Provider Identifier
1043314693
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
X-RAY ASSOCIATES
Practice address
1211 N Main St
Ohio County Hospital
Hartford, KY 42347
Phone
(270) 685-5165
Fax
(270) 683-0256
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frederic C Park, MDNPI 1821189002
Title
President Member
Phone
(270) 685-5165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1211 N Main St
Ohio County Hospital
Hartford, KY 42347

Mailing address

PO Box 807
X-Ray Associates
Owensboro, KY 42302-0807
Phone (270) 685-5165

Other identifiers 2

IdentifierTypeStateIssuer
65909160MedicaidKY
4355OtherBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1043314693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "address_2": "X-RAY ASSOCIATES",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423020807",
            "telephone_number": "270-685-5165",
            "fax_number": "270-683-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N MAIN ST",
            "address_2": "OHIO COUNTY HOSPITAL",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "42347",
            "telephone_number": "270-685-5165",
            "fax_number": "270-683-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X-RAY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT MEMBER",
        "authorized_official_telephone_number": "270-685-5165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65909160",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4355",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.