Parkersburg Radiology Services, Inc.
Organization Active NPI Diagnostic Radiology Physician · Parkersburg, WV
NPI 1669478111 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1669478111
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 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
- Organization subpart
- No
Authorized official
- Name
- Dr. W Michael Hensley, MD
- Title
- President
- Phone
- (304) 422-6573
Practitioners 27
-
Craig A Chambers, DO
-
Terry C Shank, MD
-
Neil R Strobl, MD
-
Peter W. Strobl, M.D.
-
Philip H Strobl, MD
-
Hassana Barazi, MD
-
Thor Farnsworth, M.D.
-
Michelle Debra Rossmann, M.D.
-
Kok Chye Tan, MD
-
David C Thoma, D.O.
-
Derek Kurt Urban, MD
-
Visad Patel, MD
-
Jeffrey S Carpenter, M.D.
-
Paul E Vandyke, MD
-
Rakesh Barak, M.D.
-
Kevin Lyn Burner, M.D.
-
Frank A Erickson, MD
-
Jeffrey B Judd, M.D.
-
John J Stephens, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in WV, MI, GA, NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | WV | Yes |
Addresses
Primary practice location
800 Garfield Ave
Parkersburg, WV 26101-5340
Mailing address
PO Box 779
Parkersburg, WV 26102-0779
Phone (304) 422-6573
Other providers in Parkersburg, WV
- Parkersburg Orthopedic Associates, Inc
- Parkersburg Pathology Services, PLLC
- Parkersburg Physical Therapy
- Parkersburg Primary Care PLLC
- Parkersburg Psychological Services, PLLC
- Parkersburg Treatment Center, LLC
- Parkersburg Treatment Center, LLC
- Parkersburg Treatment Center, LLC
- Maria Parks
- Parrish Hearing Aid Center, Inc.
All providers in Parkersburg, WV · Diagnostic Radiology Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.