Organization Active NPI

Valley Radiology Associates, PA

  • Diagnostic Radiology Physician
  • N Wilkesboro, NC
National Provider Identifier
1346314515
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
VALLEY RADIOLOGY ASSOCIATES, PA
Practice address
1370 W D St
N Wilkesboro, NC 28659-3506
Phone
(336) 927-9209
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Dr. John K. McLarney, M.D.NPI 1760556997
Title
President
Phone
(336) 927-9209

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1370 W D St
N Wilkesboro, NC 28659-3506

Mailing address

1900 W Park Dr
PO Box 456
N Wilkesboro, NC 28659-3563
Phone (336) 927-9209

Other practice location 1

1900 W Park Dr
North Wilkesboro, NC 28659-3563
Phone (336) 927-9209

Other practice location 2

1917 W Park Dr
North Wilkesboro, NC 28659-3585
Phone (336) 927-9209

Other identifiers 3

IdentifierTypeStateIssuer
89O16E9MedicaidNC
DA2465OtherNCRAILROAD MEDICARE GRP #
O16E9OtherNCNC BCBS GROUP PROV #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040709001121 NC Part B Supplier - Clinic/Group Practice 7113905779 Receives reassigned benefits from 2 practitioners
Practice locations: N Wilkesboro, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1346314515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W PARK DR",
            "address_2": "PO BOX 456",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593563",
            "telephone_number": "336-927-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 W D ST",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593506",
            "telephone_number": "336-927-9209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 W Park Dr",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286593563",
            "country_code": "US",
            "telephone_number": "336-927-9209",
            "fax_number": "336-667-5918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1917 W Park Dr",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286593585",
            "country_code": "US",
            "telephone_number": "336-927-9209",
            "fax_number": "336-667-5918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY RADIOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "MCLARNEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-927-9209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89O16E9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP #",
            "identifier": "DA2465",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS GROUP PROV #",
            "identifier": "O16E9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.