NPIMap

Organization Active NPI

Valley Radiology at Angier LLC

  • Diagnostic Radiology Physician
  • Angier, NC
National Provider Identifier
1689854812
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
VALLEY RADIOLOGY AT ANGIER LLC
Practice address
169 Rawls Rd.
Angier, NC 27501
Phone
(919) 331-2001
Fax
(919) 331-2003
NPI assigned
Nov 5, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Max H Faykus, MDNPI 1336142975
Title
President
Phone
(910) 486-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X NC Primary

Addresses

Primary practice location

169 Rawls Rd.
Angier, NC 27501

Mailing address

169 Rawls Rd.
Angier, NC 27501
Phone (919) 331-2001

Other identifiers 5

IdentifierTypeStateIssuer
QPA797OtherNCSC MEDICAID
204310OtherNCMEDICARE
1630307OtherNCPHP
8901572MedicaidNC
01572OtherBCBS

National Provider Directory

National Provider Directory

Locations

169 Rawls Rd
Angier, NC 27501
Phone (919) 331-2001

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689854812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 RAWLS RD.",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "27501",
            "telephone_number": "919-331-2001",
            "fax_number": "919-331-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 RAWLS RD.",
            "city": "ANGIER",
            "state": "NC",
            "postal_code": "27501",
            "telephone_number": "919-331-2001",
            "fax_number": "919-331-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RADIOLOGY AT ANGIER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FAYKUS",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-486-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "QPA797",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "204310",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "1630307",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901572",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01572",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Angier, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.