Organization Active NPI

Independent Radiology Associates PLC

  • Diagnostic Radiology Physician
  • Dyersburg, TN
National Provider Identifier
1194804906
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
INDEPENDENT RADIOLOGY ASSOCIATES PLC
Practice address
400 E Tickle St
Dyersburg, TN 38024
Phone
(731) 285-2346
Fax
(731) 285-4717
NPI assigned
Nov 3, 2006
Last updated
Jan 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Mrs. Jennifer P Caton
Title
Office Manager
Phone
(731) 285-2346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

400 E Tickle St
Dyersburg, TN 38024

Mailing address

PO Box 1296
Dyersburg, TN 38025-1296
Phone (731) 285-2346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929001253 TN Part B Supplier - Clinic/Group Practice 6507835154 Receives reassigned benefits from 4 practitioners
Practice locations: Union City, TN; Troy, TN; Tiptonville, TN; Ripley, TN; Martin, TN; Halls, TN; Alamo, TN; Brownsville, TN…

National Provider Directory

National Provider Directory

Locations

27 Fox St
Poughkeepsie, NY 12601
Phone (914) 471-7417

2569 N Washington Ave
Brownsville, TN 38012
Phone (731) 410-6777

8633 Highway 22
Dresden, TN 38225
Phone (731) 364-5613

1950 Cook St
Ste D
Dyersburg, TN 38024
Phone (731) 285-7999

305 W Court St
Dyersburg, TN 38024
Phone (731) 285-2346

1720 E Reelfoot Ave
Ste 104B
Union City, TN 38261
Phone (731) 225-2555

702 Sherrill St
Ste 3
Union City, TN 38261
Phone (731) 885-8884

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1194804906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1296",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380251296",
            "telephone_number": "731-285-2346",
            "fax_number": "731-285-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "telephone_number": "731-285-2346",
            "fax_number": "731-285-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT RADIOLOGY ASSOCIATES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "CATON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "731-285-2346",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.