NPIMap

Individual provider Active NPI

Roderick Webb Jr.

  • Diagnostic Radiology Physician
  • Humboldt, TN
National Provider Identifier
1154360741
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
8436 Issued in TN
Practice address
3525 Chere Carol Rd
Humboldt, TN 38343-3638
Phone
(731) 784-2321
Fax
(901) 753-2896
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 8436 TN Primary

Addresses

Primary practice location

3525 Chere Carol Rd
Humboldt, TN 38343-3638

Mailing address

791 Walnut Knoll LN
2ND FL
Cordova, TN 38018-8839
Phone (901) 755-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8436TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Family Medicine Inc PastSince Nov 15, 2017 Accepting new patients
Ying Xu PastSince Sep 1, 1999 Accepting new patients
Madison Family Practice PastSince Sep 1, 2009 Accepting new patients
Crockett Medical Clinic Inc Past Accepting new patients
Bell Internal Medicine PC Past Accepting new patients
Jackson Radiology Associates PA Diagnostic Radiology Past Accepting new patients
Whiteville Medical Clinic, LLC Past Accepting new patients
Hope Primary Care Center Past Accepting new patients
Radiology Associates of Oxford - PA Diagnostic Radiology Past Accepting new patients
The West Clinic P.C. Past Accepting new patients
Professional Imaging of Tennessee Past Accepting new patients
Rhea Clinic PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16990/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHIJBD

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1154360741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 WALNUT KNOLL LN",
            "address_2": "2ND FL",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380188839",
            "telephone_number": "901-755-7001",
            "fax_number": "901-753-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 CHERE CAROL RD",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433638",
            "telephone_number": "731-784-2321",
            "fax_number": "901-753-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "RODERICK",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "8436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.