Radiology Associates a Professional Corporation
Organization Active NPI Diagnostic Radiology Physician · Monroe, LA
NPI 1104855402 · NPPES record last updated Apr 12, 2016
Key facts
- NPI
- 1104855402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- RADIOLOGY ASSOCIATES A PROFESSIONAL CORPORATION
- Practice address
- 1888 Hudson Cir
Ste 2
Monroe, LA 71201-3546 - Phone
- (318) 387-3453
- Fax
- (318) 323-9045
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert Halsell, M.D.
- Title
- President
- Phone
- (318) 387-3453
Member organizations 1
Practitioners 21
-
Michael Barnidge Jr., M.D.
-
John Michael Barraza, M.D.
-
John Allen Davis, M.D.
-
Anne Dopson Halsell, M.D.
-
Blake Eugene McGehee, M.D.
-
Lin Xiong, M.D.
-
Keith Ryne Andrews, M.D.
-
Jason McCourt, MD
-
John Paul Thevenot, PA-C
-
Robert David Halsell, M.D.
-
Christopher Paul Zetzmann, MD, MPH
-
Robert Bruce Golson, M.D.
-
Allison Jones, NNP
-
Rachael Patterson Osbon, FNP-C
-
Samer Noel Roy, MD
-
Michael K. Herron, M. D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in LA, FL, TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050701000504 | LA | Part B Supplier - Clinic/Group Practice | 4284670092 |
Receives reassigned benefits from 13 practitioners Practice locations: Monroe, LA; West Monroe, LA; Winnsboro, LA; Farmerville, LA; Lafayette, LA |
| O20250527001694 | FL | Part B Supplier - Clinic/Group Practice | 4284670092 |
Receives reassigned benefits from 1 practitioner Practice locations: Odessa, FL |
| O20251022002956 | TX | Part B Supplier - Clinic/Group Practice | 4284670092 |
Receives reassigned benefits from 1 practitioner Practice locations: Dallas, TX |
National Provider Directory
Locations
907 James Ave
Farmerville, LA 71241
913 James Ave
Farmerville, LA 71241
208 Louisville Ave
#A
Monroe, LA 71201
Phone (318) 398-2969
1888 Hudson Cir
Ste 2
Monroe, LA 71201
Phone 3183873453 ext. 2
102 Thomas Rd
Ste 504
West Monroe, LA 71291
Phone (318) 322-0100
109 McMillan Rd
West Monroe, LA 71291
5238 Cypress St
West Monroe, LA 71291
309 McMillan Rd
West Monroe, LA 71291
Phone (318) 362-4396
1117 Cheniere Drew Rd
West Monroe, LA 71291
Phone (318) 329-4370
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
1888 Hudson Cir
Ste 2
Monroe, LA 71201-3546
Mailing address
1888 Hudson Cir
Ste 2
Monroe, LA 71201-3546
Phone (318) 387-3453
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK2617 | Other | LA | RAILROAD MEDICARE |
| 148439002 | Medicaid | AR | |
| 1443867 | Medicaid | LA |
Other providers in Monroe, LA
- Shaista Qureshi
- R and C 2 Medical Transportation
- R. Mollie a. John, M.D., Apmc
- Brett G Rachal
- Jade Racy
- Paige T Ragan
- Nancy Ruth Ragona
- Roy Russell Ragsdill Jr.
- Danielle G. Raley
- Jenessy Raley
All providers in Monroe, LA · Diagnostic Radiology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.