Organization Active NPI

Cherry Hill Radiology PLLC

  • Diagnostic Radiology Physician
  • Jackson, TN
National Provider Identifier
1891030946
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00000041767 Issued in TN
Legal business name
CHERRY HILL RADIOLOGY PLLC
Practice address
401 Redfield Dr
Jackson, TN 38305-8555
Phone
(901) 753-8370
Fax
(901) 756-0714
NPI assigned
Nov 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
Mrs. Anne Ralls
Title
Manager
Phone
(901) 753-8370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MD00000041767 TN Primary

Addresses

Primary practice location

401 Redfield Dr
Jackson, TN 38305-8555

Mailing address

PO Box 1000 Dept 219
Memphis, TN 38148-0129
Phone (901) 753-8370

National Provider Directory

National Provider Directory

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": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1891030946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 219",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480129",
            "telephone_number": "901-753-8370",
            "fax_number": "901-756-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 REDFIELD DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383058555",
            "telephone_number": "901-753-8370",
            "fax_number": "901-756-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY HILL RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "RALLS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "901-753-8370",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD00000041767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.