Organization Active NPI

Professional Radiology Associates, PSC

  • Diagnostic Radiology Physician
  • Richmond, KY
National Provider Identifier
1730125535
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PROFESSIONAL RADIOLOGY ASSOCIATES, PSC
Practice address
781 Eastern Byp
Pattie a. Clay Hospital
Richmond, KY 40475-2408
Phone
(859) 623-8827
Fax
(859) 623-8810
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Benjamin Homer McQuaide, M.D.NPI 1679503106
Title
President
Phone
(859) 623-8827

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
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

781 Eastern Byp
Pattie a. Clay Hospital
Richmond, KY 40475-2408

Mailing address

PO Box 1429
Frankfort, KY 40602-1429
Phone (502) 226-3858

Other identifiers 1

IdentifierTypeStateIssuer
65936825MedicaidKY

National Provider Directory

National Provider Directory

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": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730125535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1429",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406021429",
            "telephone_number": "502-226-3858",
            "fax_number": "502-223-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 EASTERN BYP",
            "address_2": "PATTIE A. CLAY HOSPITAL",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752408",
            "telephone_number": "859-623-8827",
            "fax_number": "859-623-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RADIOLOGY ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCQUAIDE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "HOMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-623-8827",
        "authorized_official_credential": "M.D."
    },
    "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": "65936825",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.