Winchester Radiology, PSC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

WINCHESTER RADIOLOGY, PSC

Practice address

1107 W Lexington Ave
Winchester, KY 40391-1169

Phone

(859) 745-3500

Fax

(859) 345-3403

NPI assigned

Sep 27, 2006

Last updated

Aug 22, 2020By 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

Dusik K. Shin, M.D.NPI 1457442154

Title

President

Phone

(859) 745-3500

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Dusik K. Shin, M.D.

  • Diagnostic Radiology Physician
  • Winchester, KY
  • NPI 1457442154
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912098625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5007",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406025007",
            "telephone_number": "502-226-3858",
            "fax_number": "502-223-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W LEXINGTON AVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911169",
            "telephone_number": "859-745-3500",
            "fax_number": "859-345-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER RADIOLOGY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "DUSIK",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-745-3500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65915365",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000111566",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winchester Medical Associates, LLC
• Winchester Medical Associates, LLC
• Winchester Neurology,PSC
• Winchester Open MRI
• Winchester Pharmacy LLC (Clark County Pharmacy)
• Winchester Treatment Services, LLC
• William S. Witt, M.D.
• Women's Health of Winchester PSC
• Angela D. Wood, A.R.N.P.
• Macie Groh Woodward, PA-C

• Diagnostic Radiology Physician in Winchester, KY
• Providers in Winchester, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.