Active NPI
Tri-County Radiologists, Inc.
- Diagnostic Radiology Physician
- Newark, OH
National Provider Identifier
1477544880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- TRI-COUNTY RADIOLOGISTS, INC.
- Practice address
- 2112 Cherry Valley Rd
Newark, OH 43055-1323 - Phone
- (740) 522-3774
- Fax
- (740) 522-2221
- NPI assigned
- Nov 3, 2005
- 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
- Mrs. Carolyn J Watson
- Title
- Business Manager
- Phone
- (740) 522-3774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
2112 Cherry Valley Rd
Newark, OH 43055-1323
Mailing address
2112 Cherry Valley Rd
P O Box 948
Newark, OH 43055-1323
Phone (740) 522-3774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0139960 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CO, PA, IL, MO, KS, MI, AZ, UT, CA, FL
Enrollment records 11
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 30
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464134400000",
"number": "1477544880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2112 CHERRY VALLEY RD",
"address_2": "P O BOX 948",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551323",
"telephone_number": "740-522-3774",
"fax_number": "740-522-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 CHERRY VALLEY RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430551323",
"telephone_number": "740-522-3774",
"fax_number": "740-522-2221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-COUNTY RADIOLOGISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-03",
"last_updated": "2016-05-25",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "740-522-3774",
"authorized_official_name_prefix": "Mrs."
},
"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": "0139960",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.