Heritage Radiology, PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

HERITAGE RADIOLOGY, PC

Practice address

1000 Highway 28
Grandview Medical Center
Jasper, TN 37347-3638

Phone

(423) 837-3423

NPI assigned

Jan 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Miriam M Willis

Title

Secretary

Phone

(423) 942-1674

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John N Galbraith, MD

  • Diagnostic Radiology Physician
  • Jasper, TN
  • NPI 1073599049
  NPD (past)
• Robert F Phlegar, MD

  • Diagnostic Radiology Physician
  • Jasper, TN
  • NPI 1831175801
  NPD (past)
• Marshall Ray Willis, MD

  • Diagnostic Radiology Physician
  • Jasper, TN
  • NPI 1528054293
  NPD (past)

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730230210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MYERS AVE",
            "address_2": "P.O. BOX 128",
            "city": "GUILD",
            "state": "TN",
            "postal_code": "373403099",
            "telephone_number": "423-942-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 28",
            "address_2": "GRANDVIEW MEDICAL CENTER",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473638",
            "telephone_number": "423-837-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "423-942-1674",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3729274",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brynna Chivaune Hamilton, NP-C
• Karim D Hasnani, DMD
• Howell F Hathorne, MSCCC SLP
• Gary Stephen Hayes, MD
• Health Sphere Wellness Center LLC
• Heron Emergency Physicians PLLC
• Miriam Janice Herstik, PT
• Pamela R Hickman, LPN
• Rhonda C Hill, APN
• Eric Lee Hitch, PHARMD

• Diagnostic Radiology Physician in Jasper, TN
• Providers in Jasper, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• 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.