Illinois Valley Radiology, SC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD060032L Issued in PA

Legal business name

ILLINOIS VALLEY RADIOLOGY, SC

Practice address

401 E Murphy Ave
Connellsville, PA 15425-2724

Phone

(724) 288-8701

Fax

(815) 371-0750

NPI assigned

Jul 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mark D Hilborn, M.D

Title

Owner

Phone

(724) 288-8701

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1902359813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E MURPHY AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154252724",
            "telephone_number": "724-288-8701",
            "fax_number": "815-371-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MURPHY AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154252724",
            "telephone_number": "724-288-8701",
            "fax_number": "815-371-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS VALLEY RADIOLOGY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "HILBORN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-288-8701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD060032L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ann Holonich, LCSW
• Carol Hunter
• James Raymond Hurley, DC
• Shannon Michelle Hurley, RDN
• Kristen Rochelle Huth, NURSE PRACTITIONER
• Internal Medicine Associates of Connellsville
• Purushothama Iyengar, M.D.
• James Miller Oppy MD
• Charles M Jesko, DC
• Jody L Rumbaugh Chiropractic & Wellness

• Diagnostic Radiology Physician in Connellsville, PA
• Providers in Connellsville, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.