Organization Active NPI

Physicians Health Group LLC

Doing business as PHG Diagnostic Testing Center - Radiology

  • Radiology Clinic/Center
  • Evansville, IN
National Provider Identifier
1770561318
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
20171 Issued in IN
Legal business name
PHYSICIANS HEALTH GROUP LLC
Doing business as
PHG Diagnostic Testing Center - Radiology
Practice address
3801 Bellemeade Ave
Suite 010
Evansville, IN 47714-0100
Phone
(812) 485-1808
Fax
(812) 485-1809
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Carolyn Weinert
Title
Executive Director
Phone
(812) 485-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 20171 IN Primary

Addresses

Primary practice location

3801 Bellemeade Ave
Suite 010
Evansville, IN 47714-0100

Mailing address

3801 Bellemeade Ave
Suite 010
Evansville, IN 47714-0100
Phone (812) 485-1808

Other names 1

  • PHG Diagnostic Testing Center - Radiology Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3801 Bellemeade Ave
Ste 10
Evansville, IN 47714
Phone (812) 485-1808

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1770561318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE",
            "address_2": "SUITE 010",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140100",
            "telephone_number": "812-485-1808",
            "fax_number": "812-485-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE",
            "address_2": "SUITE 010",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140100",
            "telephone_number": "812-485-1808",
            "fax_number": "812-485-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WEINERT",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-485-1818"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IN",
            "license": "20171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHG Diagnostic Testing Center - Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.