Walnut Bottom Radiology LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

145607 Issued in PA

Legal business name

WALNUT BOTTOM RADIOLOGY LLC

Practice address

850 Walnut Bottom Rd
Carlisle, PA 17013-3632

Phone

(717) 245-0071

Fax

(717) 245-0180

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Donald Lozier

Title

Manager

Phone

(814) 643-6207

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• David R. Royal, M.D.

  • Diagnostic Radiology Physician
  • Carlisle, PA
  • NPI 1740243070
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1730141565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 WALNUT BOTTOM RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133632",
            "telephone_number": "717-245-0071",
            "fax_number": "717-245-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WALNUT BOTTOM RD",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133632",
            "telephone_number": "717-245-0071",
            "fax_number": "717-245-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT BOTTOM RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "LOZIER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "814-643-6207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "145607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010634900003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Kay Waldron, PHARM.D
• Delena Marie Walker, CCHW
• Lisa Walker, LMT
• Michael D Wallisch, MD
• Walnut Bottom Family Practice, LLC
• Courtney N Waltermire, CSW
• Qingru Wang, M.D.
• Karen L Ware, PA-C
• Christina Ann Wargo, NP-C
• Craig Reed Warner, PTA

• Diagnostic Radiology Physician in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.