Central Texas Radiological Associates PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CENTRAL TEXAS RADIOLOGICAL ASSOCIATES PA

Practice address

6901 Medical Pkwy
Radiology Department
Waco, TX 76712-7910

Phone

(254) 751-4299

Fax

(903) 663-7394

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Kathleen Sorensen, MD

Title

Partner

Phone

(254) 751-4299

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX, AZ, WA, CA, FL, DC, MA, AR, CO, IL, NY, PR, MO, MI, SC, KS, TN, PA, NJ, WI, VI, ME22 enrollments

Enrollment records 22

Locations

Practitioners 72

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

• Nathan Benjamin Forrest, D.O.

  • Diagnostic Radiology Physician
  • Waco, TX
  • NPI 1295795664

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• Christian Joseph Ingui, M.D.

  • Diagnostic Radiology Physician
  • Laredo, TX
  • NPI 1407893894

  AZ, Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• Aaron Jackson, M.D.

  • Diagnostic Radiology Physician
  • Fort Cavazos, TX
  • NPI 1114157740

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• Raymond Andrew Leblanc, M.D.

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1336672294

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• Fah S Leong, MD

  • Diagnostic Radiology Physician
  • Southlake, TX
  • NPI 1184685299

  Single Specialty, TX

  Medicare reassignment Care Compare group NPD
• Amy R McCourt, MD

  • Diagnostic Radiology Physician
  • Waco, TX
  • NPI 1326009721

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• Dennis L Parks, MD

  • Diagnostic Radiology Physician
  • Waco, TX
  • NPI 1346200870

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• Kathleen Ann Patton, MD

  • Diagnostic Radiology Physician
  • Waco, TX
  • NPI 1295775765

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• David L Wells, MD

  • Diagnostic Radiology Physician
  • Plano, TX
  • NPI 1659447118

  Diagnostic Radiology, TX, VI

  Medicare reassignment Care Compare group NPD
• Jeffery Randall White, M.D.

  • Vascular & Interventional Radiology Physician
  • Waco, TX
  • NPI 1558564641

  TX

  Medicare reassignment Care Compare group NPD
• Steven Clark White, M.D.

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1174529507

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD
• Lance Williams

  • Diagnostic Radiology Physician
  • Lubbock, TX
  • NPI 1194773549

  Diagnostic Radiology, PA, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1861452864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055143",
            "telephone_number": "903-663-4800",
            "fax_number": "903-663-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 MEDICAL PKWY",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127910",
            "telephone_number": "254-751-4299",
            "fax_number": "903-663-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS RADIOLOGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "254-751-4299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080211802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF TEXAS",
            "identifier": "0023AK",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD0257",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Texas Pain Center, PLLC
• Central Texas Pain Center, PLLC
• Central Texas Pathology Laboratory, P.a.
• Central Texas Pediatrics
• Central Texas Psychotherapy PLLC
• Central Texas Senior Ministry
• Central Texas Therapy Spot PLLC
• Central Texas Urgent Care P.a.
• Central Texas Urologic Associates, P.a.
• Central Texas Womens Care PA

• All providers in Waco, TX
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.