Tri-State Radiology, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

TRI-STATE RADIOLOGY, PC

Practice address

1600 Morgan St
Keokuk, IA 52632-3456

Phone

(319) 524-7150

Fax

(319) 233-0722

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

William E Fulcher, M.D.NPI 1447237599

Title

Owner

Phone

(319) 524-7150

Specialties & licenses 1

Addresses

Practitioners 2

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

• William E Fulcher, M.D.

  • Diagnostic Radiology Physician
  • Cedar Rapids, IA
  • NPI 1447237599
  NPD (past) Authorized official
• Arthur W Mardis, M.D.

  • Diagnostic Radiology Physician
  • Iowa City, IA
  • NPI 1366429466
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1518925445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526320457",
            "telephone_number": "319-526-5380",
            "fax_number": "319-233-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MORGAN ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526323456",
            "telephone_number": "319-524-7150",
            "fax_number": "319-233-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "FULCHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-524-7150",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tender Loving Home Care Services, LLC
• Katelyn Grace Thurman, APRN
• Tri-State Medical Group Inc
• Tri-State Medical Group Inc
• Tri-State Medical Group Inc
• Twin Rivers Inc. (River Hills Village)
• Twin Rivers, Inc. (River Hills Village)
• Unlimited Development, Inc. (Keokuk Village Drive, LLC River Hills Village)
• John Vance, DC
• Kim Vandevoort

• Diagnostic Radiology Physician in Keokuk, IA
• Providers in Keokuk, IA by specialty
• Diagnostic Radiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.