NPIMap

Organization Active NPI

Regional Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • Paducah, KY
National Provider Identifier
1457440893
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
REGIONAL RADIOLOGY ASSOCIATES, PLLC
Practice address
225 Medical Center Dr
Suite 203
Paducah, KY 42003-7914
Phone
(270) 441-4275
Fax
(270) 441-4197
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Rosmary V Shiben, MD
Title
Owner/President
Phone
(270) 441-4275

Specialties & licenses 1

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

Addresses

Primary practice location

225 Medical Center Dr
Suite 203
Paducah, KY 42003-7914

Mailing address

225 Medical Center Dr
Suite 203
Paducah, KY 42003-7914
Phone (270) 441-4275

Other identifiers 1

IdentifierTypeStateIssuer
65936387MedicaidKY

National Provider Directory

National Provider Directory

Locations

28 Chick St
#850
Metropolis, IL 62960
Phone (618) 524-2176

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1457440893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 203",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4275",
            "fax_number": "270-441-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 203",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4275",
            "fax_number": "270-441-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL RADIOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "SHIBEN",
        "authorized_official_first_name": "ROSMARY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "270-441-4275",
        "authorized_official_credential": "MD"
    },
    "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": "65936387",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.