NPIMap

Organization Active NPI

Parkersburg Radiology Services, Inc.

  • Diagnostic Radiology Physician
  • Parkersburg, WV
National Provider Identifier
1669478111
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PARKERSBURG RADIOLOGY SERVICES, INC.
Practice address
800 Garfield Ave
Parkersburg, WV 26101-5340
Phone
(304) 422-6573
Fax
(304) 485-4466
NPI assigned
Jun 21, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. W Michael Hensley, MDNPI 1932105202
Title
President
Phone
(304) 422-6573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X WV Primary

Addresses

Primary practice location

800 Garfield Ave
Parkersburg, WV 26101-5340

Mailing address

PO Box 779
Parkersburg, WV 26102-0779
Phone (304) 422-6573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MI, GA, NC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040224000870 WV Part B Supplier - Clinic/Group Practice 6103712401 Receives reassigned benefits from 10 practitioners
Practice locations: Parkersburg, WV; Vienna, WV
O20200203000137 MI Part B Supplier - Clinic/Group Practice 6103712401 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington Hills, MI
O20200205002366 GA Part B Supplier - Clinic/Group Practice 6103712401 Receives reassigned benefits from 1 practitioner
Practice locations: Grovetown, GA; Evans, GA
O20211014000456 NC Part B Supplier - Clinic/Group Practice 6103712401 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC

National Provider Directory

National Provider Directory

Locations

800 Grand Central Mall
Ste 7
Vienna, WV 26105
Phone (304) 422-3916

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669478111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261020779",
            "telephone_number": "304-422-6573",
            "fax_number": "304-485-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GARFIELD AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015340",
            "telephone_number": "304-422-6573",
            "fax_number": "304-485-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKERSBURG RADIOLOGY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-422-6573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.