Radiology Consultants of Nacogdoches LLP

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RADIOLOGY CONSULTANTS OF NACOGDOCHES LLP

Practice address

1204 N Mound St
Radiology Department
Nacogdoches, TX 75961-4027

Phone

(936) 568-8514

Fax

(903) 663-9960

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Allen Grisson, M.D.NPI 1700836335

Title

President

Phone

(936) 569-0841

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, AR2 enrollments

Enrollment records 2

Locations

Practitioners 23

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

• Allen Tracy Grisson, M.D.

  • Diagnostic Radiology Physician
  • Nacogdoches, TX
  • NPI 1700836335
  Medicare reassignment NPD Authorized official
• Jon T Anderson, MD

  • Diagnostic Radiology Physician
  • Abilene, TX
  • NPI 1144365107
  Medicare reassignment NPD
• John Houston Bliznak, M.D.

  • Diagnostic Radiology Physician
  • Abilene, TX
  • NPI 1942488531
  Medicare reassignment NPD
• Mary Beth Calme, M.D.

  • Diagnostic Radiology Physician
  • Nacogdoches, TX
  • NPI 1104875087
  Medicare reassignment NPD
• Michel D Dumas, M.D.

  • Diagnostic Radiology Physician
  • Abilene, TX
  • NPI 1427039304
  Medicare reassignment NPD
• John William Hays, MD

  • Diagnostic Radiology Physician
  • Brownwood, TX
  • NPI 1083666549
  Medicare reassignment NPD
• Kimberly Suzanne Kirschner, MD

  • Diagnostic Radiology Physician
  • Galveston, TX
  • NPI 1376747949
  Medicare reassignment NPD
• Clayton Scott McGuire, DO

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1841376431
  Medicare reassignment NPD
• Steven J Nitke, M.D.

  • Diagnostic Radiology Physician
  • Abilene, TX
  • NPI 1134100019
  Medicare reassignment NPD
• Bradley Nowack, MD

  • Diagnostic Radiology Physician
  • Abilene, TX
  • NPI 1740644731
  Medicare reassignment NPD
• Ashish C Patel, M.D.

  • Neuroradiology Physician
  • Abilene, TX
  • NPI 1437130929
  Medicare reassignment NPD
• Himansu Patel, MD

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1508183153
  Medicare reassignment NPD

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1578512232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5370",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756085370",
            "telephone_number": "903-663-4800",
            "fax_number": "903-663-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N MOUND ST",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614027",
            "telephone_number": "936-568-8514",
            "fax_number": "903-663-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY CONSULTANTS OF NACOGDOCHES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "GRISSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-569-0841",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112622901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pulmonary Medicine of Nacogdoches, P.a.
• Muhammad Qudrat Ullah, MD
• Marian Kathleen Querry, D.O.
• R. Kent Cannaday, Crna, PLLC
• Rachel B. Head, MD, PLLC
• Peter Ramzy, MD
• Holly Horton Randall, LCSW
• Mark Alford Randel, M.D.
• James Michael Randle, M.D.
• Ranek, LC

• Diagnostic Radiology Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.

Verify at the official NPI Registry.