South Central Radiology PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SOUTH CENTRAL RADIOLOGY PLLC

Practice address

145 Newcomb Ave
Mount Vernon, KY 40456-2733

Phone

(606) 256-2195

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Eduardo R Gomez, M.D.

Title

Chief Manager-Owner

Phone

(606) 677-9438

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1841335643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32364",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379302364",
            "telephone_number": "865-531-6070",
            "fax_number": "608-788-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562733",
            "telephone_number": "606-256-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF MANAGER-OWNER",
        "authorized_official_telephone_number": "606-677-9438",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65942880",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Joy Silva, MA, LPCC-S
• Evan Phillip Singleton, MD
• Small Bridges Counseling
• Anthony Griffith Smith, ARNP
• Larry R Smith, D.C.
• Jalane Speaks, NCC, LPCC
• Phyllis Lee Stevens, RD
• William F. Stewart, M.D.
• Strauss Family Practice, LLC
• Megan Taylor Pittman

• Diagnostic Radiology Physician in Mount Vernon, KY
• Providers in Mount Vernon, 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 Jun 30, 2016; 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.