Thumb Butte Radiology, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

THUMB BUTTE RADIOLOGY, LLC

Practice address

3120 Willow Creek Rd
Prescott, AZ 86301-6699

Phone

(480) 750-8130

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Ayad Agha, DO

Title

Owner

Phone

(480) 543-0300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1689239824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 WILLOW CREEK RD UNIT 100",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016852",
            "telephone_number": "480-750-8130",
            "fax_number": "480-590-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016699",
            "telephone_number": "480-750-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUMB BUTTE RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "AGHA",
        "authorized_official_first_name": "AYAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-543-0300",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vernon Darwin Throop Jr., LCSW
• Thumb Butte Medical Center, PLLC
• Thumb Butte Medical Center, PLLC
• Thumb Butte Medical Clinic, PLLC
• Thumb Butte Pharmacy LLC
• Thundermaker BHRF LLC
• Thundermaker Wellness LLC
• Lee Thurston, MD
• Pierre R Tibi, MD
• Jennifer Evans Tidroski, D.O.

• Diagnostic Radiology Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.