Organization Active NPI

Glasgow Radiology, PSC

  • Diagnostic Radiology Physician
  • Glasgow, KY
National Provider Identifier
1730224817
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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

Updated by the provider on May 28, 2019

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000000057712OtherKYANTHEM GROUP
65906059MedicaidKY

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.