Organization Active NPI

Montgomery Radiology Associates, PC

  • Diagnostic Radiology Physician
  • Gettysburg, PA
National Provider Identifier
1194902650
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MONTGOMERY RADIOLOGY ASSOCIATES, PC
Practice address
20 Expedition TRL
Gettysburg, PA 17325-8598
Phone
(717) 337-5991
Fax
(717) 337-5995
NPI assigned
Jan 28, 2008
Organization subpart
Yes
Parent organization
MONTGOMERY RADIOLOGY ASSOCIATES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Satish Shah, M.D.
Title
Owner
Phone
(717) 337-5991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

20 Expedition TRL
Gettysburg, PA 17325-8598

Mailing address

20 Expedition TRL
Gettysburg, PA 17325-8598
Phone (717) 337-5991

Other identifiers 1

IdentifierTypeStateIssuer
0018049660023MedicaidPA

Other names 1

  • Adams Imaging Associates, PC Doing business as

National Provider Directory

National Provider Directory
Part of
Montgomery Radiology PC

Locations

20 Expedition Trl
Gettysburg, PA 17325
Phone (717) 334-8333

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1194902650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRL",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258598",
            "telephone_number": "717-337-5991",
            "fax_number": "717-337-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRL",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258598",
            "telephone_number": "717-337-5991",
            "fax_number": "717-337-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY RADIOLOGY ASSOCIATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY RADIOLOGY ASSOCIATES, PC",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-337-5991",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018049660023",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams Imaging Associates, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gettysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.