Active NPI
Proscan Radiology Northern Kentucky, LLC
- Diagnostic Radiology Physician
- Crestview Hills, KY
National Provider Identifier
1225535966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PROSCAN RADIOLOGY NORTHERN KENTUCKY, LLC
- Practice address
- 568 Centre View Blvd
Crestview Hills, KY 41017-3425 - Phone
- (859) 331-5310
- NPI assigned
- Apr 10, 2018
- Last updated
- Apr 12, 2023
- 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
- Karen E Amaya
- Title
- Coo
- Phone
- (513) 281-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
568 Centre View Blvd
Crestview Hills, KY 41017-3425
Mailing address
5400 Kennedy Ave Ste 1
Cincinnati, OH 45213-2668
Phone (513) 281-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
350 Thomas More Pkwy
Ste 170
Crestview Hills, KY 41017
Phone (859) 331-5300
568 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 331-5300
Practitioners & affiliated clinicians
Practitioners 53
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
- Louisville, KY
- NPI 1093742553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681257600000",
"number": "1225535966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 KENNEDY AVE STE 1",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452132668",
"telephone_number": "513-281-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "568 CENTRE VIEW BLVD",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410173425",
"telephone_number": "859-331-5310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSCAN RADIOLOGY NORTHERN KENTUCKY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-10",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A",
"authorized_official_last_name": "AMAYA",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "513-281-3400"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview Hills, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.