Mayfield Radiologists PSC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25079 Issued in KY

Legal business name

MAYFIELD RADIOLOGISTS PSC

Practice address

132 Arbor Crest Dr
Mayfield, KY 42066-1233

Phone

(270) 247-8710

Fax

(270) 247-9564

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sherrie A Beasley

Title

Office Manager

Phone

(270) 247-8710

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles E Bea, MD

  • Diagnostic Radiology Physician
  • Owensboro, KY
  • NPI 1730270919
  NPD (past)
• Jennifer Walton Brien, MD

  • Diagnostic Radiology Physician
  • Paducah, KY
  • NPI 1831173442
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1811186703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ARBOR CREST DR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661233",
            "telephone_number": "270-247-8710",
            "fax_number": "270-247-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ARBOR CREST DR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661233",
            "telephone_number": "270-247-8710",
            "fax_number": "270-247-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD RADIOLOGISTS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-247-8710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "25079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64250798",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000059857",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE",
            "identifier": "300011148",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayfield Independent Schools
• Mayfield Ky Opco LLC
• Mayfield Middle School Clinic
• Mayfield Pathology Services PSC
• Mayfield Pediatric Clinic PLLC (Mayfield Medical Center)
• McAdoo Chiropractic Center, P.S.C.
• Stephen Douglas McAdoo, D.C.
• Toni Lynn McArdle, L.M.T.
• Holly Wilson McClendon, DMD
• Ginger Lee McManus

• Diagnostic Radiology Physician in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.