Active NPI
Evansville Radiology PC
- Diagnostic Radiology Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- EVANSVILLE RADIOLOGY PC
- Practice address
- 350 W Columbia St
Suite 420
Evansville, IN 47710-1782 - Phone
- (812) 422-3254
- Fax
- (812) 426-6388
- NPI assigned
- Oct 4, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lee Hoagland, MD
- Title
- President
- Phone
- (812) 422-3254
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Acute Care Nurse Practitioner | 363LA2100X |
Addresses
Primary practice location
350 W Columbia St
Suite 420
Evansville, IN 47710-1782
Mailing address
350 W Columbia St
Suite 420
Evansville, IN 47710-1782
Phone (812) 422-3254
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001891782983 | Medicaid | IL | |
| 100282640A | Medicaid | IN | |
| 65903163 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MO, CA, PR, KY, TN, HI, VA, AZ, FL, OK, NC, WA
Enrollment records 13
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040729001191 | IN | Part B Supplier - Clinic/Group Practice | 6406826031 |
Receives reassigned benefits from 30 practitioners Practice locations: Mount Vernon, IN; Newburgh, IN; Princeton, IN; Rockport, IN; Vincennes, IN; Washington, IN; Evansville, IN; Monroe City, IN |
| O20180502002870 | MO | Part B Supplier - Clinic/Group Practice | 6406826031 |
Receives reassigned benefits from 1 practitioner Practice locations: Kansas City, MO; Creve Coeur, MO |
| O20190912003511 | CA | Part B Supplier - Clinic/Group Practice | 6406826031 |
Receives reassigned benefits from 1 practitioner Practice locations: Mission Viejo, CA |
| O20200526001556 | PR | Part B Supplier - Clinic/Group Practice | 6406826031 |
Receives reassigned benefits from 1 practitioner Practice locations: Dorado, PR |
| O20200803002559 | KY | Part B Supplier - Clinic/Group Practice | 6406826031 |
Receives reassigned benefits from 29 practitioners Practice locations: Dixon, KY; Henderson, KY; Morganfield, KY |
| O20230419001783 | TN | Part B Supplier - Clinic/Group Practice | 6406826031 |
Receives reassigned benefits from 1 practitioner Practice locations: Old Hickory, TN |
| O20230816003816 | HI | Part B Supplier - Clinic/Group Practice | 6406826031 |
Receives reassigned benefits from 1 practitioner Practice locations: Makawao, HI |
| O20231205002978 | VA | Part B Supplier - Clinic/Group Practice | 6406826031 |
Receives reassigned benefits from 3 practitioners Practice locations: Gainesville, VA; Middleburgh, VA |
| O20240715002721 | AZ | Part B Supplier - Clinic/Group Practice | 6406826031 |
Receives reassigned benefits from 1 practitioner Practice locations: Flagstaff, AZ |
| O20241008003526 | FL | Part B Supplier - Clinic/Group Practice | 6406826031 |
Receives reassigned benefits from 1 practitioner Practice locations: Windermere, FL |
| O20241009002919 | OK | Part B Supplier - Clinic/Group Practice | 6406826031 |
Receives reassigned benefits from 2 practitioners Practice locations: Ramona, OK; Tulsa, OK |
| O20260213003613 | NC | Part B Supplier - Clinic/Group Practice | 6406826031 |
Receives reassigned benefits from 1 practitioner Practice locations: Pisgah Forest, NC |
| O20260316001409 | WA | Part B Supplier - Clinic/Group Practice | 6406826031 |
Receives reassigned benefits from 1 practitioner Practice locations: Bellingham, WA |
National Provider Directory
National Provider DirectoryLocations
2007 W Franklin St
#A
Evansville, IN 47712
520 Mary St
Ste 120
Evansville, IN 47710
2007 W Franklin St
Evansville, IN 47712
Phone (812) 422-7244
1900 W 4th St
#6
Mount Vernon, IN 47620
1900 W 4th St
Ste 6
Mount Vernon, IN 47620
Phone (812) 838-2053
1813 Willow St
Unit 3A
Vincennes, IN 47591
Phone (812) 885-8941
406 N 1st St
Vincennes, IN 47591
Phone (812) 882-1106
2005 State St
Washington, IN 47501
Phone (812) 254-4016
Practitioners & affiliated clinicians
Practitioners 51
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Evansville, IN
- NPI 1487641544
Diagnostic Radiology, IN, KY
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- Diagnostic Radiology Physician
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-
- Diagnostic Radiology Physician
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- Diagnostic Radiology Physician
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- Diagnostic Radiology Physician
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- NPI 1073976080
Diagnostic Radiology, IN, KY
-
- Diagnostic Radiology Physician
- Evansville, IN
- NPI 1124371067
Diagnostic Radiology, IN, KY
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- Diagnostic Radiology Physician
- Evansville, IN
- NPI 1609066489
Diagnostic Radiology, IN, KY
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- Diagnostic Radiology Physician
- Evansville, IN
- NPI 1629107420
Diagnostic Radiology, IN, KY
-
- Diagnostic Radiology Physician
- Evansville, IN
- NPI 1568459626
Diagnostic Radiology, IN, KY
-
- Acute Care Nurse Practitioner
- Evansville, IN
- NPI 1861774366
Acute Care, IN, KY
-
- Diagnostic Radiology Physician
- Evansville, IN
- NPI 1932386984
Diagnostic Radiology, IN, KY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720483200000",
"number": "1891782983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W COLUMBIA ST",
"address_2": "SUITE 420",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101782",
"telephone_number": "812-422-3254",
"fax_number": "812-426-6388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W COLUMBIA ST",
"address_2": "SUITE 420",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101782",
"telephone_number": "812-422-3254",
"fax_number": "812-426-6388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVANSVILLE RADIOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-04",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "HOAGLAND",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-422-3254",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001891782983",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100282640A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65903163",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
- Evansville Pelvic Wellness & Rehabilitation LLC
- Evansville Plastic Surgical Associates
- Evansville Primary Care LLC
- Evansville Psychiatric Associates
- Evansville Pulmonary Associates, Inc.
- Evansville RCF LP
- Evansville Rehabilitation, P.C.
- Evansville Surgical Associates Inc
- Evansville Surgical Suites, LLC
- Evansville Treatment Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.