Pennyrile Radiology, PSC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PENNYRILE RADIOLOGY, PSC

Practice address

215 W 17TH St
Hopkinsville, KY 42240-1911

Phone

(270) 885-3414

Fax

(270) 885-7631

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James M Clark, MDNPI 1356304786

Title

Owner/Partner

Phone

(270) 885-3414

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 6

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

• James Michael Clark, MD

  • Diagnostic Radiology Physician
  • Hopkinsville, KY
  • NPI 1356304786
  Medicare reassignment Care Compare group NPD Authorized official
• Cyrus C Chapman III, MD

  • Diagnostic Radiology Physician
  • Hopkinsville, KY
  • NPI 1346254919
  Medicare reassignment Care Compare group NPD
• Lezlie Rene Kuebker, M.D.

  • Diagnostic Radiology Physician
  • Hopkinsville, KY
  • NPI 1336130251
  Medicare reassignment Care Compare group NPD
• Mark E Sturgill, D.O.

  • Diagnostic Radiology Physician
  • Hopkinsville, KY
  • NPI 1104848506
  Medicare reassignment Care Compare group
• William Lawrence Long, MD

  • Diagnostic Ultrasound Physician
  • Princeton, KY
  • NPI 1457311557
  NPD (past)
• Carl L Watkins, MD

  • Diagnostic Radiology Physician
  • Owensboro, KY
  • NPI 1326066911
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1649201096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422410595",
            "telephone_number": "270-885-3414",
            "fax_number": "270-885-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 17TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401911",
            "telephone_number": "270-885-3414",
            "fax_number": "270-885-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNYRILE RADIOLOGY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "270-885-3414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000057622",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65901829",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pennyrile General & Weight Loss Surgery PLLC
• Pennyrile Home Medical Inc
• Pennyrile Homes
• Pennyrile I LLC
• Pennyrile Physical Therapy
• Pennyrile Urology PSC
• Pennyroyal Healthcare Services, Inc
• Pennyroyal Healthcare Services, Inc.
• Pennyroyal Hospice, Inc.
• Pennyroyal Services

• Diagnostic Radiology Physician in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.