Organization Active NPI

Western Kentucky Diagnostic Imaging, PSC

  • Specialist
  • Bowling Green, KY
National Provider Identifier
1679549976
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
202-236-25 Issued in KY
Legal business name
WESTERN KENTUCKY DIAGNOSTIC IMAGING, PSC
Practice address
1635 Scottsville Rd
Bowling Green, KY 42104-3244
Phone
(270) 746-9500
Fax
(270) 901-2155
NPI assigned
Feb 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Dr. Rodney D. Veitschegger Jr., M.D.NPI 1912903881
Title
Owner/President
Phone
(270) 746-9500

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 202-236-25 KY Primary

Addresses

Primary practice location

1635 Scottsville Rd
Bowling Green, KY 42104-3244

Mailing address

1635 Scottsville Rd
Bowling Green, KY 42104-3244
Phone (270) 746-9500

Other identifiers 1

IdentifierTypeStateIssuer
65926792MedicaidKY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2006829Western Kentucky Diagnostic Imaging1635 Scottsville Road, Bowling Green, KY 42104Certificate of waiverApr 29, 2028

National Provider Directory

National Provider Directory

Locations

1635 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 745-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1679549976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043244",
            "telephone_number": "270-746-9500",
            "fax_number": "270-901-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043244",
            "telephone_number": "270-746-9500",
            "fax_number": "270-901-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KENTUCKY DIAGNOSTIC IMAGING, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "VEITSCHEGGER",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "270-746-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "202-236-25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65926792",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.