Downtown Radiology Inc
Organization Active NPI Mammography Radiologic Technologist · Middlesboro, KY
NPI 1922035443 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1922035443
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mammography Radiologic Technologist 2471M2300X
- License
- 269570 (KY)
- Legal business name
- DOWNTOWN RADIOLOGY INC
- Practice address
- 123 N. 19TH St.
123 N. 19TH St.
Middlesboro, KY 40965-4623 - Phone
- (606) 248-3171
- Fax
- (606) 248-3206
- NPI assigned
- Jun 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lula M. Baker, MANAGER
- Title
- Office Manager
- Phone
- (606) 248-3171
Practitioners 17
-
Charles A Moore, MD
-
William S Holmes, MD
-
Michael B Adler, M.D.
-
Sheri W Armstrong, M.D.
-
Rachel M Barker, MD
-
Samuel Paul Bilyeu, M.D.
-
Garth P Graham, MD
-
Hejung Kim, MD
-
Steven Edward Repka, M.D.
-
Amanda B Squires, MD
-
John Texada, MD
-
Jeffrey Paul Vargo, M.D.
-
John P Williams, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070602000019 | KY | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6608974456 | Practice locations: Middlesboro, KY |
National Provider Directory
Locations
123 N 19th St
Ste A
Middlesboro, KY 40965
2001 Laurel Ave
Ste 304
Knoxville, TN 37916
Phone (865) 266-3109
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist |
2471C3402X | 730019 | KY | |
| Mammography Radiologic Technologist |
2471M2300X | 269570 | KY | Yes |
Addresses
Primary practice location
123 N. 19TH St.
123 N. 19TH St.
Middlesboro, KY 40965-4623
Mailing address
123 N 19TH St
Middlesboro, KY 40965-2865
Phone (606) 248-3171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292804 | Other | KY | BLACK LUNG PROGRAM |
| 885 | Other | KY | CHA INSURANCE |
| 86010071 | Medicaid | KY | |
| 885 | Other | KY | BLUEGRASS FAMILY HLTH |
| 885 | Other | KY | ACORDIA INS |
| 000000073139 | Other | KY | B/C B/SHIELD OF KY # |
| 000816234002 | Other | KY | UNITED HEALTHCARE |
| 1403954 | Other | KY | UMWA INS |
| 7144 | Other | KY | CHA INSURANCE |
Other providers in Middlesboro, KY
- Mackenzie Cupp
- David a. Escalante, MD
- David G. Sanford, M.D., P.S.C.
- Jodi Davis
- Dholakia and Associates, PSC
- Dr Ouen Pongdee MD PSC Inc
- DRS Rose and Thomas
- Dubin Orthopaedic Centre, P.S.C.
- Dubin Orthopaedic Centre, PSC
- Dubin Orthopedic Centre PSC
All providers in Middlesboro, KY · Mammography Radiologic Technologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.