NPIMap

Organization Active NPI

Proscan Radiology Northern Kentucky, LLC

  • Diagnostic Radiology Physician
  • Crestview Hills, KY
National Provider Identifier
1225535966
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20180810000316 KY Part B Supplier - Clinic/Group Practice 9537417399 Receives reassigned benefits from 50 practitioners
Practice locations: Crestview Hills, KY

National Provider Directory

National Provider Directory

Locations

568 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 331-5300

568 Centre View Blvd
Bldg 20
Crestview Hills, KY 41017

350 Thomas More Pkwy
Ste 170
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.

View all 53

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.

Verify at the official NPI Registry.