Kennewick Radiology Group PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

KENNEWICK RADIOLOGY GROUP PC

Practice address

174 First Avenue North
Ilwaco, WA 98624

Phone

(360) 642-6304

Fax

(360) 642-6309

NPI assigned

Feb 28, 2008

Last updated

May 1, 2008By 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

Mr. Richard J Rhee

Title

Provider/Owner

Phone

(800) 941-4365

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Kennewick Radiology Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kennewick Radiology Group PC

  • Diagnostic Radiology Physician
  • Carlsbad, CA
  • NPI 1992936652
  NPD tax ID

Practitioners 1

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.

• Sandip Arvind Patidar, MD

  • Diagnostic Radiology Physician
  • Kennewick, WA
  • NPI 1063463784
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1437328085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1441",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791051441",
            "telephone_number": "509-586-5779",
            "fax_number": "509-586-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 FIRST AVENUE NORTH",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "98624",
            "telephone_number": "360-642-6304",
            "fax_number": "360-642-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEWICK RADIOLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "RHEE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "800-941-4365",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006814",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7138209",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J Stephen Bell DO PS (Johnny S. Bell DO PS)
• Gary Jacobsen, FNP, ARNP
• Mark R. Kaehler, MD
• Jarrod Paul Karnofski, DPT ATC CSCS
• William Norris Kay, MD
• Andrew Clifford Lakanen, MS, RDN, LD
• Jaala Langley, RN
• Ivan Pe Law, MD
• Landon Lewis, DNP
• Lin Li

• Diagnostic Radiology Physician in Ilwaco, WA
• Providers in Ilwaco, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.