Knox County Radiology Associates, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

KNOX COUNTY RADIOLOGY ASSOCIATES, INC.

Practice address

215 Treuhaft Blvd
Suite 3
Barbourville, KY 40906

Phone

(606) 546-7200

Fax

(606) 546-7221

NPI assigned

Aug 17, 2006

Last updated

Sep 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Wade Boles

Title

Ceo

Phone

(606) 546-7200

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Lawrence Long, MD

  • Diagnostic Ultrasound Physician
  • Princeton, KY
  • NPI 1457311557
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1649383985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 TREUHAFT BLVD",
            "address_2": "SUITE 3",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "40906",
            "telephone_number": "606-546-7200",
            "fax_number": "606-546-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TREUHAFT BLVD",
            "address_2": "SUITE 3",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "40906",
            "telephone_number": "606-546-7200",
            "fax_number": "606-546-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX COUNTY RADIOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-546-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65934499",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000204791",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie A King, LPCA
• Jade E Knight, LCSW
• Knox County Ambulance Service
• Knox County Health Department
• Knox County Health Department
• Knox County Schools
• Knox Family Dentistry, P.S.C.
• Knox Family Medicine
• Knox Family Medicine PSC
• Knox Hospital Corporation (Knox County Hospital)

• Diagnostic Radiology Physician in Barbourville, KY
• Providers in Barbourville, 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 Sep 19, 2012; 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.