Professional Radiology Consultants, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD031177E Issued in PA

Legal business name

PROFESSIONAL RADIOLOGY CONSULTANTS, PC

Practice address

612 W Smith St
Corry, PA 16407-1152

Phone

(814) 664-4641

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Barbara J Hanes

Title

Administrator

Phone

(814) 725-9800

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1275620437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11487 SCOTLAND AVE",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164283143",
            "telephone_number": "814-725-9800",
            "fax_number": "814-725-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W SMITH ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071152",
            "telephone_number": "814-664-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RADIOLOGY CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "HANES",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-725-9800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD031177E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1916238",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "PR1332073",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Nicole Pfeffer
• Keeley Lynn Phelps, CRNP
• Miranda Autumn Pierson, LPC
• Maryevelyn Pifer, PA-C
• Angela Ann Pizer, RDN, LDN, CDM, CFPP
• Bernard C Proy, M.D.
• Vincent B Proy, MD
• Scott M Pruckner, DMD
• R.C. Hearing Concepts
• Sean Michael Ray, PHARMD

• Specialist in Corry, PA
• Providers in Corry, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.