NPIMap

Organization Active NPI

Interventional Radiology Specialists, Inc.

  • Diagnostic Radiology Physician
  • Washington, PA
National Provider Identifier
1881847010
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD039561E Issued in PA
Legal business name
INTERVENTIONAL RADIOLOGY SPECIALISTS, INC.
Practice address
155 Wilson Ave
Washington, PA 15301-3336
Phone
(724) 225-7000
NPI assigned
Oct 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Dr. Philip Wildenhain, MDNPI 1679571947
Title
President
Phone
(866) 338-6471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MD039561E PA Primary

Addresses

Primary practice location

155 Wilson Ave
Washington, PA 15301-3336

Mailing address

10567 Sawmill Pkwy
Powell, OH 43065-6667
Phone (614) 336-8856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090115000611 PA Part B Supplier - Clinic/Group Practice 7113080201 Receives reassigned benefits from 6 practitioners
Practice locations: Waynesburg, PA; Washington, PA; Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

10567 Sawmill Pkwy
Powell, OH 43065
Phone (614) 717-9840

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1881847010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10567 SAWMILL PKWY",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430656667",
            "telephone_number": "614-336-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013336",
            "telephone_number": "724-225-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL RADIOLOGY SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "WILDENHAIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-338-6471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD039561E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.