K&a Radiologic Technology Services Inc

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

K&A RADIOLOGIC TECHNOLOGY SERVICES INC

Practice address

6400 Collamer Road
East Syracuse, NY 13057-1032

Phone

(315) 437-1622

Fax

(315) 437-3190

NPI assigned

Sep 6, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth C Andrews

Title

President/Owner

Phone

(315) 437-1622

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• K&a Radiologic Technology Services Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • East Syracuse, NY
  • NPI 1992799282

  5193712552

  Same PAC ID

Tax ID family

K a Radiologic Tech SVCS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• K&a Radiologic Technology Services Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • East Syracuse, NY
  • NPI 1992799282
  NPD tax ID

Locations

Practitioners 1

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

• Philip Fear, MD

  • Diagnostic Radiology Physician
  • Saratoga Springs, NY
  • NPI 1811987910
  NPD

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1891789939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 COLLAMER ROAD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571032",
            "telephone_number": "315-437-1622",
            "fax_number": "315-437-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 COLLAMER ROAD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571032",
            "telephone_number": "315-437-1622",
            "fax_number": "315-437-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&A RADIOLOGIC TECHNOLOGY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "315-437-1622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01676237",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01867596",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Jones, FNP
• Megan O'Connor Jordan, AUD
• Debra L Joseph, MS
• Kristine Joseph, M.D.
• Mylene Manongsong Jumalon, FNP
• K&a Radiologic Technology Services Inc
• Jeffrey Kahn, MD
• Kellee Kalfass, LCSW
• Andrew Kanuck, M.S.
• Mary Therese Kapfer, ANP

• Physiological Laboratory in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Physiological Laboratory in New York

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