Caney Fork Radiology, PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CANEY FORK RADIOLOGY, PLLC

Practice address

200 Signature PL
Lebanon, TN 37087-3281

Phone

(615) 444-2320

Fax

(615) 449-3163

NPI assigned

Aug 21, 2007

Last updated

Aug 21, 2007By 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

Lloyd Caudill, M.D.

Title

Director/ Medical Doctor

Phone

(615) 444-2320

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1780877035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5000",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370885000",
            "telephone_number": "615-444-2320",
            "fax_number": "615-449-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SIGNATURE PL",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873281",
            "telephone_number": "615-444-2320",
            "fax_number": "615-449-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANEY FORK RADIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "DIRECTOR/ MEDICAL DOCTOR",
        "authorized_official_telephone_number": "615-444-2320",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maura L Campbell, M.D.
• Alessandra Maria Cannon, PT
• Jeanie Caroline Cansler, DC
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• Diagnostic Radiology Physician in Lebanon, TN
• Providers in Lebanon, 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 21, 2007; 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.