Diagnostic Radiology of London

Primary specialty

SpecialistTaxonomy code 174400000X

License

33556 Issued in KY

Legal business name

DIAGNOSTIC RADIOLOGY OF LONDON

Practice address

1455 E Hwy 90 by-Pass Unit #4
Monticello, KY 42633

Phone

(606) 340-0009

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eric D Johnson, MD

Title

Radiologist

Phone

(606) 864-2221

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Imaging and Open MRI Doing business as

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1245376243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W 7TH ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411763",
            "telephone_number": "606-864-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E HWY 90 BY-PASS UNIT #4",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "42633",
            "telephone_number": "606-340-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC RADIOLOGY OF LONDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "606-864-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "33556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "33556",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64353568",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Imaging and Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cumberland Valley Behavioral Health LLC
• Misty A Cundiff, APRN
• David B Mayer D O P S C
• Wendy Parnell Denney, LPCC
• Michelle Dennis, APRN
• Diagnostic Radiology of London PSC
• Stephanie Dick, PTA
• Diamond Dishman, LCSW
• Morgan Dishman, PHARMD, RPH
• Carolyn Dobbs, R.PH.

• All providers in Monticello, KY
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.