Active NPI
Russellville Diagnostic Imaging
- Diagnostic Radiology Physician
- Russellville, KY
National Provider Identifier
1295906121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD36221
- Legal business name
- RUSSELLVILLE DIAGNOSTIC IMAGING
- Practice address
- 1625 Nashville St
Russellville, KY 42276-8853 - Phone
- (270) 725-4561
- NPI assigned
- Mar 19, 2008
- 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
- Dr. Todd M Talmadge, MD
- Title
- Director
- Phone
- (270) 725-4561
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD36221 | TN | Primary |
Addresses
Primary practice location
1625 Nashville St
Russellville, KY 42276-8853
Mailing address
PO Box 3339
Clarksville, TN 37043-3339
Phone (931) 647-5034
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN6583 | Other | RAILROAD MEDICARE | |
| 7100040150 | Medicaid | KY | |
| 000000566896 | Other | KY | ANTHEM BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Russellville, KY
- NPI 1881673739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226880000000",
"number": "1295906121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3339",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370433339",
"telephone_number": "931-647-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 NASHVILLE ST",
"city": "RUSSELLVILLE",
"state": "KY",
"postal_code": "422768853",
"telephone_number": "270-725-4561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSSELLVILLE DIAGNOSTIC IMAGING",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2008-11-17",
"status": "A",
"authorized_official_last_name": "TALMADGE",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "270-725-4561",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "MD36221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DN6583",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100040150",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000566896",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.