Active NPI
Emery Edward Worley II, M.D.
- Diagnostic Radiology Physician
- Monroe, LA
National Provider Identifier
1669409843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 011361
- Practice address
- 1888 Hudson Cir
Ste 2
Monroe, LA 71201-3546 - Phone
- (318) 387-3453
- Fax
- (318) 323-9045
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 011361 | LA | Primary |
Addresses
Primary practice location
1888 Hudson Cir
Ste 2
Monroe, LA 71201-3546
Mailing address
1888 Hudson Cir
Ste 2
Monroe, LA 71201-3546
Phone (318) 387-3453
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300131921 | Other | LA | RAILROAD MEDICARE |
| 300131921 | Other | LA | RR MEDICARE |
| 1173029 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011361 | LA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Radiology Associates of West Pasco
- Diagnostic Radiology Physician
- Trinity, FL
- NPI 1558328963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1669409843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1888 HUDSON CIR",
"address_2": "STE 2",
"city": "MONROE",
"state": "LA",
"postal_code": "712013546",
"telephone_number": "318-387-3453",
"fax_number": "318-323-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1888 HUDSON CIR",
"address_2": "STE 2",
"city": "MONROE",
"state": "LA",
"postal_code": "712013546",
"telephone_number": "318-387-3453",
"fax_number": "318-323-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLEY II",
"first_name": "EMERY",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "011361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300131921",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300131921",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1173029",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.