Evendale Ancillary Services, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

EVENDALE ANCILLARY SERVICES, LLC

Practice address

3147 Glendale Milford Road
Cincinnati, OH 45241

Phone

(513) 247-8800

Fax

(513) 247-8805

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Kelvin G Hanger

Title

Campus Administrator

Phone

(513) 247-8800

Specialties & licenses 1

Addresses

Other names 1

• Evendale Imaging Center Doing business as

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1649318643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147 GLENDALE MILFORD ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45241",
            "telephone_number": "513-247-8800",
            "fax_number": "513-247-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3147 GLENDALE MILFORD ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45241",
            "telephone_number": "513-247-8800",
            "fax_number": "513-247-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENDALE ANCILLARY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "HANGER",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CAMPUS ADMINISTRATOR",
        "authorized_official_telephone_number": "513-247-8800"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evendale Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yolanda Terrie Evans, LPC, CDCA III
• Nathan Kent Evanson, M.D., PH.D.
• Claudia E Evaristo, MD, MPH
• Rachel Evegan
• Leslie Susan Evelo, PH.D
• Evendale Medical Center, LLC
• Abigail Evenson
• Evera Home Healthcare
• Eboni Shavon Everage, CERTIFIED HAIRLOSS S
• Janet Everage

• Radiology Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Radiology Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.