Organization Active NPI

Emanuel H. Rader, P.S.C.

  • Family Medicine Physician
  • Pineville, KY
National Provider Identifier
1669519625
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EMANUEL H. RADER, P.S.C.
Practice address
121 W Virginia Ave
Suite C-100
Pineville, KY 40977-1600
Phone
(606) 337-3559
Fax
(606) 337-8252
NPI assigned
Jan 31, 2007
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Dr. Emanuel H. Rader, M.D.
Title
Owner
Phone
(606) 337-3570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

121 W Virginia Ave
Suite C-100
Pineville, KY 40977-1600

Mailing address

121 W Virginia Ave
Suite C-100
Pineville, KY 40977-1600
Phone (606) 337-3559

Other identifiers 1

IdentifierTypeStateIssuer
64148273MedicaidKY

National Provider Directory

National Provider Directory

Locations

121 W Virginia Ave
Ste 100C
Pineville, KY 40977
Phone (606) 337-3559

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1669519625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W VIRGINIA AVE",
            "address_2": "SUITE C-100",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771600",
            "telephone_number": "606-337-3559",
            "fax_number": "606-337-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W VIRGINIA AVE",
            "address_2": "SUITE C-100",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771600",
            "telephone_number": "606-337-3559",
            "fax_number": "606-337-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANUEL H. RADER, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-337-3570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64148273",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.