Organization Active NPI

West Texas Radiology Group, PA

  • Diagnostic Radiology Physician
  • Abilene, TX
National Provider Identifier
1669707501
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WEST TEXAS RADIOLOGY GROUP, PA
Practice address
6250 US Highway 83
Radiology Department
Abilene, TX 79606-5215
Phone
(325) 428-1000
NPI assigned
Oct 9, 2009
Last updated
May 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Kerry A Tretheway
Title
Manager
Phone
(405) 486-7250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

6250 US Highway 83
Radiology Department
Abilene, TX 79606-5215

Mailing address

PO Box 21228
Dept 232
Tulsa, OK 74121-1228
Phone (405) 486-7250

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1669707501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21228",
            "address_2": "DEPT 232",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741211228",
            "telephone_number": "405-486-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 US HIGHWAY 83",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065215",
            "telephone_number": "325-428-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS RADIOLOGY GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "TRETHEWAY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-486-7250"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.