Active NPI
Radiology Associates of Wyoming Valley, Inc
- Diagnostic Radiology Physician
- Wilkes Barre, PA
National Provider Identifier
1174528707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGY ASSOCIATES OF WYOMING VALLEY, INC
- Practice address
- 575 N River St
Wilkes Barre, PA 18764-0999 - Phone
- (570) 829-8111
- Fax
- (570) 696-3268
- NPI assigned
- Jun 20, 2005
- Last updated
- May 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald Richterman IX, MD
- Title
- President
- Phone
- (570) 829-8111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | |||
| Nuclear Radiology Physician | 2085N0904X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Diagnostic Ultrasound Physician | 2085U0001X |
Addresses
Primary practice location
575 N River St
Wilkes Barre, PA 18764-0999
Mailing address
PO Box 197
State College, PA 16804-0197
Phone (814) 235-1526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100919630 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY, KY, AZ, CA, VA, OH, FL, GA, MD, NC, WI, IL, NJ, CO
Enrollment records 15
National Provider Directory
National Provider DirectoryLocations
672 S River St
Plains, PA 18705
Phone (570) 552-7197
Practitioners & affiliated clinicians
Practitioners 68
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Wilkes Barre, PA
- NPI 1346207578
Nuclear Radiology
-
- Diagnostic Radiology Physician
- Forest City, PA
- NPI 1649402561
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1780918375
-
- Diagnostic Radiology Physician
- Doylestown, PA
- NPI 1790197762
-
- Diagnostic Radiology Physician
- Lancaster, PA
- NPI 1831465145
-
- Diagnostic Radiology Physician
- Peckville, PA
- NPI 1871543793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1174528707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 197",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168040197",
"telephone_number": "814-235-1526",
"fax_number": "814-235-1566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187640999",
"telephone_number": "570-829-8111",
"fax_number": "570-696-3268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGY ASSOCIATES OF WYOMING VALLEY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-20",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "RICHTERMAN",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-829-8111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "IX",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100919630",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.