Active NPI
Glasgow Radiology, PSC
- Diagnostic Radiology Physician
- Glasgow, KY
National Provider Identifier
1730224817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- GLASGOW RADIOLOGY, PSC
- Practice address
- 106 E Wayne St
Glasgow, KY 42141-2636 - Phone
- (270) 651-9129
- Fax
- (270) 651-4916
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael W Shadowen, M.D.
- Title
- President
- Phone
- (270) 651-9129
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
106 E Wayne St
Glasgow, KY 42141-2636
Mailing address
PO Box 1537
Glasgow, KY 42142-1537
Phone (270) 651-9129
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000057712 | Other | KY | ANTHEM GROUP |
| 65906059 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
102B E Wayne St
Glasgow, KY 42141
Phone (270) 651-9129
106 E Wayne St
Glasgow, KY 42141
Phone (270) 651-9129
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1902953870
-
- Diagnostic Radiology Physician
- Thompsons Station, TN
- NPI 1518974955
-
- Diagnostic Radiology Physician
- Lancaster, PA
- NPI 1306854567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559001600000",
"number": "1730224817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1537",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421421537",
"telephone_number": "270-651-9129",
"fax_number": "270-651-4916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 E WAYNE ST",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421412636",
"telephone_number": "270-651-9129",
"fax_number": "270-651-4916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLASGOW RADIOLOGY, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2019-05-28",
"status": "A",
"authorized_official_last_name": "SHADOWEN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "270-651-9129",
"authorized_official_name_prefix": "Dr.",
"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": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP",
"identifier": "000000057712",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65906059",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glasgow, KY
- Glasgow Prescription Center Inc
- Glasgow Prescription Center, Inc.
- Glasgow Prescription Center, Inc.
- Glasgow Prescription Center, Inc.
- Glasgow Prescription Center, Inc.
- Glasgow Surgical Associates PSC
- Glasgow Urgent Clinic Inc
- Glasgow Urgent Clinic, Inc
- Glasgow Urgent Clinic, Inc.
- Angie Maria Glass Bishop, MS CCC/SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.