Organization Active NPI

Kennewick Radiology Group PC

  • Diagnostic Radiology Physician
  • Paradise Valley, AZ
National Provider Identifier
1942431739
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
KENNEWICK RADIOLOGY GROUP PC
Practice address
4045 E Desert Crest Dr
Paradise Valley, AZ 85253-3942
Phone
(509) 586-5779
Fax
(509) 586-5178
NPI assigned
Jul 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Mr. Richard J Rhee
Title
Provider/Owner
Phone
(800) 941-4365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

4045 E Desert Crest Dr
Paradise Valley, AZ 85253-3942

Mailing address

PO Box 1441
Amarillo, TX 79105-1441
Phone (509) 586-5779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1942431739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1441",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791051441",
            "telephone_number": "509-586-5779",
            "fax_number": "509-586-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E DESERT CREST DR",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852533942",
            "telephone_number": "509-586-5779",
            "fax_number": "509-586-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEWICK RADIOLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "RHEE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "800-941-4365",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.