Organization Active NPI

River Valley Imaging, LLC

  • Diagnostic Radiology Physician
  • Lawrenceburg, IN
National Provider Identifier
1790718724
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01044388A Issued in IN
Legal business name
RIVER VALLEY IMAGING, LLC
Practice address
600 Wilson Creek Rd
Radiology Department
Lawrenceburg, IN 47025-2751
Phone
(812) 537-8105
Fax
(812) 537-3240
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Dr. John A. Botsford, M.D.
Title
President
Phone
(812) 537-8105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 01044388A IN Primary

Addresses

Primary practice location

600 Wilson Creek Rd
Radiology Department
Lawrenceburg, IN 47025-2751

Mailing address

7800 E Kemper Rd
Suite 150
Cincinnati, OH 45249-1664
Phone (513) 530-9200

Other identifiers 2

IdentifierTypeStateIssuer
2611696MedicaidOH
200105380MedicaidIN

National Provider Directory

National Provider Directory

Locations

11311 Cornell Park Dr
#410
Blue Ash, OH 45242

Practitioners & affiliated clinicians

Practitioners 1

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1790718724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 E KEMPER RD",
            "address_2": "SUITE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491664",
            "telephone_number": "513-530-9200",
            "fax_number": "513-530-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WILSON CREEK RD",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470252751",
            "telephone_number": "812-537-8105",
            "fax_number": "812-537-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "BOTSFORD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-537-8105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01044388A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2611696",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200105380",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.