Eagle Radiology LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

EAGLE RADIOLOGY LLC

Practice address

352 Hospital Blvd
Pineville, LA 71361

Phone

(318) 473-6293

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lillian W Cavin, MD

Title

Owner

Phone

(318) 473-6293

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790715738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12670",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713152670",
            "telephone_number": "318-473-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 HOSPITAL BLVD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71361",
            "telephone_number": "318-473-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CAVIN",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-473-6293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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": "RAILROAD MEDICARE",
            "identifier": "DC7001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Dry, MD
• Keteral James Ducote II, NP-C
• Terrie Normand Ducote, LCSW
• Angela Duncan-Ayo
• David Lashun Dunlap, CIT
• Easter Seals Louisiana Inc.
• Dawn S. Eberhardt, R.PH.
• Joshua Edwards
• Natasha Brooke Edwards, APRN-FNP
• Sara Katherine Edwards, M.S. CCC-SLP

• All providers in Pineville, LA
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.