Cleveland Radiology Associates, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CLEVELAND RADIOLOGY ASSOCIATES, PC

Practice address

2370 N Ocoee St
Cleveland, TN 37311-3850

Phone

(423) 479-6214

Fax

(423) 614-4405

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Roger D Miller, MDNPI 1639177314

Title

Partner

Phone

(423) 479-6214

Specialties & licenses 1

Addresses

Other names 1

• Bradley Reg. PET Imaging Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 10

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

• Roger Dale Miller, M.D.

  • Diagnostic Radiology Physician
  • Cleveland, TN
  • NPI 1639177314
  Medicare reassignment Care Compare group NPD Authorized official
• Herbert Lebron Lackey Jr., M.D.

  • Diagnostic Radiology Physician
  • Cleveland, TN
  • NPI 1326046053
  Medicare reassignment Care Compare group NPD
• Paul Allen Miller, MD

  • Student in an Organized Health Care Education/Training Program
  • Knoxville, TN
  • NPI 1194352484
  Medicare reassignment Care Compare group NPD
• Larry Coy Collins, M.D.

  • Diagnostic Radiology Physician
  • Cleveland, TN
  • NPI 1255339941
  NPD (past)
• Howard Kenton Hamilton, M.D.

  • Diagnostic Radiology Physician
  • Cleveland, TN
  • NPI 1154329845
  NPD (past)
• Larry R Killen, M.D.

  • Diagnostic Radiology Physician
  • Cleveland, TN
  • NPI 1740287507
  NPD (past)
• Clyde A Kyle III, MD

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1326024266
  NPD (past)
• Charles W Piez, MD

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1073567814
  NPD (past)
• Richard E Hopper, MD

  • Diagnostic Radiology Physician
  • Gadsden, AL
  • NPI 1871547661
  NPD (past)
• Jerry W Mitchell, MD

  • Diagnostic Radiology Physician
  • Gadsden, AL
  • NPI 1861445652
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1174552202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3990",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373203990",
            "telephone_number": "423-479-6214",
            "fax_number": "423-614-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 N OCOEE ST",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113850",
            "telephone_number": "423-479-6214",
            "fax_number": "423-614-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND RADIOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "423-479-6214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradley Reg. PET Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Cleveland Worx LLC

• Diagnostic Radiology Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.