Western Kentucky Technical Imaging, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

WESTERN KENTUCKY TECHNICAL IMAGING, INC

Practice address

510 Ruby Dr
Madisonville, KY 42431-2168

Phone

(270) 399-7757

NPI assigned

Jul 16, 2006

Last updated

Oct 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brooks A Horsley, MDNPI 1467412049

Title

President

Phone

(812) 471-1591

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

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.

• Brooks A Horsley, MD

  • Diagnostic Radiology Physician
  • Hopkinsville, KY
  • NPI 1467412049
  Medicare reassignment NPD Authorized official
• Gloria V Staples, MD

  • Internal Medicine Physician
  • Hopkinsville, KY
  • NPI 1174589618
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1396762324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3037",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477303037",
            "telephone_number": "800-467-2392",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 RUBY DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312168",
            "telephone_number": "270-399-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KENTUCKY TECHNICAL IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "HORSLEY",
        "authorized_official_first_name": "BROOKS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-471-1591",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65939456",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Adina Weldon, BCBA
• Wellness Family Chiropractic, PSC
• Wells Health Systems, Inc. (Senior Citizens)
• West Kentucky Dermatology, PSC
• Kayla Marie Wester, MSN, FNP
• Christopher K Whetstine
• Ashlenn Brei White
• Rachael White
• Kristin Wickham, M.D.
• Wiggins Drugs Limited (King Drug & Home Care-Madisonville)

• Diagnostic Radiology Physician in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.