Organization Active NPI

West Reading Radiology Associates

  • Diagnostic Radiology Physician
  • West Reading, PA
National Provider Identifier
1700848280
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WEST READING RADIOLOGY ASSOCIATES
Practice address
301 S 7TH Ave
Ste. 135
West Reading, PA 19611-1410
Phone
(484) 628-4580
Fax
(610) 736-0721
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Mrs. Melissa M. Debock
Title
Administrative Coordinator
Phone
(484) 628-4580

Specialties & licenses 1

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

Addresses

Primary practice location

301 S 7TH Ave
Ste. 135
West Reading, PA 19611-1410

Mailing address

301 S 7TH Ave
Ste. 135
West Reading, PA 19611-1410
Phone (484) 628-4580

Other identifiers 2

IdentifierTypeStateIssuer
0006879360011MedicaidPA
WE178254OtherPAMEDICARE

Other names 1

  • WRRA Other name

National Provider Directory

National Provider Directory

Locations

2603 Keiser Blvd
Fl 1
Reading, PA 19610

301 S 7th Ave
Ste 135
West Reading, PA 19611
Phone (484) 628-8112

2001 State Hill Rd
Ste 104
Wyomissing, PA 19610
Phone (610) 378-6108

1320 Broadcasting Rd
Wyomissing, PA 19610
Phone (484) 336-8477

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": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1700848280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 7TH AVE",
            "address_2": "STE. 135",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111410",
            "telephone_number": "484-628-4580",
            "fax_number": "610-736-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 7TH AVE",
            "address_2": "STE. 135",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111410",
            "telephone_number": "484-628-4580",
            "fax_number": "610-736-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST READING RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "DEBOCK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATIVE COORDINATOR",
        "authorized_official_telephone_number": "484-628-4580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006879360011",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "WE178254",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WRRA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.