Pineville Radiology Associates, PSC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

12386 Issued in TN

Legal business name

PINEVILLE RADIOLOGY ASSOCIATES, PSC

Practice address

850 Riverview Rd
Pineville, KY 40977-1430

Phone

(276) 523-7938

Fax

(276) 523-7028

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Sankar Lakshman, M.D.NPI 1053361337

Title

Owner

Phone

(276) 523-7943

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 1

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

• Sankar Lakshman, M.D.

  • Diagnostic Radiology Physician
  • Pineville, KY
  • NPI 1053361337
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1164514089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890332",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890332",
            "telephone_number": "276-523-7938",
            "fax_number": "276-523-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW RD",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771430",
            "telephone_number": "276-523-7938",
            "fax_number": "276-523-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVILLE RADIOLOGY ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "LAKSHMAN",
        "authorized_official_first_name": "SANKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-523-7943",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "12386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4404666",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65925133",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pineville Medical Center, LLC
• Pineville Medical Center, LLC
• Pineville Nursing Home Management LLC
• Pineville Pharmacy LLC
• Pineville Primary Care, PSC
• Rickendra Brooke Potter, OTR/L
• Matthew Scott Powers, DPT
• Right Fork Elementary School
• Grace Runions, APRN
• Rural Healthcare Developers, Inc

• Diagnostic Radiology Physician in Pineville, KY
• Providers in Pineville, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.