Active NPI
Anne Katherine Radnothy, PA-C
- Physician Assistant
- Yuma, AZ
National Provider Identifier
1508941915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103501
- Practice address
- Yrmc
2400 S. Ave
Yuma, AZ 85364 - Phone
- (928) 336-7020
- Fax
- (928) 336-7520
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 103501 | NC | Primary |
Addresses
Primary practice location
Yrmc
2400 S. Ave
Yuma, AZ 85364
Mailing address
PO Box 3147
Ypg
Yuma, AZ 85365
Phone (928) 920-1322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3501 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weirsdale Family Health Center Inc | Past | Accepting new patients | |
| Louis J Radnothy DO PA | Past | Accepting new patients | |
| Southwest Emergency Physicians, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ECJJAD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Yuma, AZ
- NPI 1992732259
-
- Rural Health Clinic/Center
- Umatilla, FL
- NPI 1578639209
-
- Rural Health Clinic/Center
- Weirsdale, FL
- NPI 1669548392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508941915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3147",
"address_2": "YPG",
"city": "YUMA",
"state": "AZ",
"postal_code": "85365",
"telephone_number": "928-920-1322",
"fax_number": "928-336-7520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "YRMC",
"address_2": "2400 S. AVE",
"city": "YUMA",
"state": "AZ",
"postal_code": "85364",
"telephone_number": "928-336-7020",
"fax_number": "928-336-7520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADNOTHY",
"first_name": "ANNE",
"middle_name": "KATHERINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.