Washington County Memorial Hospital

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

01058910A Issued in IN

Legal business name

WASHINGTON COUNTY MEMORIAL HOSPITAL

Practice address

125 Spring Meadow Cir
Salem, IN 47167-9429

Phone

(812) 883-3963

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Abdelrahman M Abdalla, M.D.

Title

Radiologist

Phone

(812) 883-5881

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1598826752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SPRING MEADOW CIR",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471679429",
            "telephone_number": "812-883-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SPRING MEADOW CIR",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "471679429",
            "telephone_number": "812-883-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ABDALLA",
        "authorized_official_first_name": "ABDELRAHMAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "812-883-5881",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "IN",
            "license": "01058910A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELDS",
            "identifier": "000000342198",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01058910A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL ID",
            "identifier": "203299",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia S. Walker, O.D.
• Washington County
• Washington County
• Washington County Emergency Medical Services, Inc.
• Washington County Memorial Hospital
• Karen S Weesner, LCSW
• Tricia K Wheeler, DMD
• Amy R Whistler, APRN, FNP-BC, PMHNP
• Catherine Lynn Whitener
• Ryan Wisecarver, MSSW

• Radiologic Technologist in Salem, IN
• Providers in Salem, IN by specialty
• Radiologic Technologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.