Active NPI
Radiology Associates of Wichita Falls PA
- Diagnostic Radiology Physician
- Wichita Falls, TX
National Provider Identifier
1346333598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGY ASSOCIATES OF WICHITA FALLS PA
- Practice address
- 808 Brook Ave.
Wichita Falls, TX 76301-4289 - Phone
- (940) 766-0217
- Fax
- (940) 766-0730
- NPI assigned
- Oct 2, 2006
- Last updated
- Nov 1, 2023
- 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
- David Douglas Moffatt III, MD
- Title
- Authorized Official/Owner
- Phone
- (940) 766-0217
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
808 Brook Ave.
Wichita Falls, TX 76301-4289
Mailing address
808 Brook Ave.
Wichita Falls, TX 76301-4289
Phone (940) 766-0217
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00BA07 | Other | TX | BLUE CROSS/BS OF TX GRP. |
| CP8288 | Other | TX | RAILROAD MEDICARE/PALMET |
| 121739002 | Other | TX | SUPERIOR HEALTH PLAN |
| 121739001 | Other | TX | C S H C N |
| 121739002 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, HI, AZ, CA, OK, VA, NV, MN, KY, IL, WA, NJ, OH, NY, PA, DE, MA, MI, NE, NC, MD, FL, GA
Enrollment records 23
National Provider Directory
National Provider DirectoryLocations
1518 10th St
Wichita Falls, TX 76301
Phone (940) 253-7160
808 Brook Ave
Wichita Falls, TX 76301
Phone (940) 696-7578
Practitioners & affiliated clinicians
Practitioners 79
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.
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- Diagnostic Radiology Physician
- Houston, TX
- NPI 1336323492
-
- Diagnostic Radiology Physician
- Lake Jackson, TX
- NPI 1477767127
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1649652447
-
- Diagnostic Radiology Physician
- Texarkana, TX
- NPI 1548681042
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1215078076
-
- Diagnostic Radiology Physician
- Wichita Falls, TX
- NPI 1770787830
-
- Diagnostic Radiology Physician
- New Braunfels, TX
- NPI 1700999216
-
- Diagnostic Radiology Physician
- Corinth, TX
- NPI 1487858569
-
- Diagnostic Radiology Physician
- Longview, TX
- NPI 1639165954
-
- Diagnostic Radiology Physician
- Wichita Falls, TX
- NPI 1578631149
-
- Diagnostic Radiology Physician
- Paris, TX
- NPI 1962467696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698796800000",
"number": "1346333598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 BROOK AVE.",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763014289",
"telephone_number": "940-766-0217",
"fax_number": "940-766-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 BROOK AVE.",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763014289",
"telephone_number": "940-766-0217",
"fax_number": "940-766-0730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGY ASSOCIATES OF WICHITA FALLS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A",
"authorized_official_last_name": "MOFFATT",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
"authorized_official_telephone_number": "940-766-0217",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BS OF TX GRP.",
"identifier": "00BA07",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE/PALMET",
"identifier": "CP8288",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR HEALTH PLAN",
"identifier": "121739002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "C S H C N",
"identifier": "121739001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121739002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.