Waco Radiology PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

WACO RADIOLOGY PA

Practice address

405 Londonderry Dr
Ste 104
Waco, TX 76712-7924

Phone

(469) 757-1000

NPI assigned

Mar 27, 2006

Last updated

Jul 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip Malone

Title

Operations Manger

Phone

(405) 321-8125

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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.

• Adam M Borowski, MD

  • Diagnostic Radiology Physician
  • Longview, TX
  • NPI 1114987039
  NPD (past)
• Howard N Klaskin, MD

  • Diagnostic Radiology Physician
  • Waco, TX
  • NPI 1710948336
  NPD (past)
• Amy R McCourt, MD

  • Diagnostic Radiology Physician
  • Waco, TX
  • NPI 1326009721
  NPD (past)
• Kathleen Ann Patton, MD

  • Diagnostic Radiology Physician
  • Waco, TX
  • NPI 1295775765
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1891755468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750870103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LONDONDERRY DR",
            "address_2": "STE 104",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127924",
            "telephone_number": "469-757-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO RADIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OPERATIONS MANGER",
        "authorized_official_telephone_number": "405-321-8125"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "00C377",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081864301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waco Pediatric Health Associates
• Waco PM&R Group, PA
• Waco Primary Care, P.a.
• Waco Prosthetics, Inc. (Innovative Prosthetics)
• Waco Psychological Associates
• Waco Rheumatology PLLC
• Waco SN Opco LLC (Alpha Skilled Nursing & Rehab)
• Waco SNF LLC (Wesley Woods Health & Rehabilitation)
• Waco Surgical Center LTD
• Waco Surgical Clinic P a

• Diagnostic Radiology Physician in Waco, TX
• Providers in Waco, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.