Active NPI
Horsley, PSC
- Radiology Clinic/Center
- Hopkinsville, KY
National Provider Identifier
1174526982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- HORSLEY, PSC
- Doing business as
- Southern Regional Open MRI
- Practice address
- 611 Hammond PLZ
Hopkinsville, KY 42240-4971 - Phone
- (270) 885-1950
- Fax
- (270) 885-4431
- NPI assigned
- May 24, 2005
- Organization subpart
- Yes
- Parent organization
- HORSLEY, PSC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Michelle Douglas
- Title
- Credentialing Manager
- Phone
- (502) 403-1401
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | |||
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
611 Hammond PLZ
Hopkinsville, KY 42240-4971
Mailing address
611 Hammond PLZ
Hopkinsville, KY 42240-4971
Phone (270) 885-1950
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300102264 | Other | KY | MEDICARE RR |
| 1518114 | Medicaid | TN | |
| 64230873 | Medicaid | KY |
Other names 1
- Southern Regional Open MRI
National Provider Directory
National Provider Directory- Part of
- Horsley PSC
Locations
611 Hammond Plz
Hopkinsville, KY 42240
Phone (270) 885-1950
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Diagnostic Radiology Physician
- Madisonville, KY
- NPI 1477504561
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Hopkinsville, KY
- NPI 1669559621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392595200000",
"number": "1174526982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 HAMMOND PLZ",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422404971",
"telephone_number": "270-885-1950",
"fax_number": "270-885-4431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 HAMMOND PLZ",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422404971",
"telephone_number": "270-885-1950",
"fax_number": "270-885-4431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORSLEY, PSC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HORSLEY, PSC",
"enumeration_date": "2005-05-24",
"last_updated": "2014-02-17",
"status": "A",
"authorized_official_last_name": "DOUGLAS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "502-403-1401",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "300102264",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1518114",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64230873",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Regional Open MRI",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.