Radiology Associates of El Dorado PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

RADIOLOGY ASSOCIATES OF EL DORADO PLLC

Practice address

700 W Grove St
El Dorado, AR 71730-4416

Phone

(870) 862-1577

Fax

(870) 862-5916

NPI assigned

Nov 8, 2006

Last updated

Dec 13, 2013By 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

Mrs. Brenda Wilson

Title

Business Manager

Phone

(870) 862-1577

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Charles Douglas Edmondson, M.D.

  • Specialist
  • El Dorado, AR
  • NPI 1669589040
  NPD (past)
• Diana T. Jucas, M.D.

  • Specialist
  • El Dorado, AR
  • NPI 1255448601
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1952471849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 THOMPSON AVE",
            "address_2": "P.O. BOX 506",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304557",
            "telephone_number": "870-862-1577",
            "fax_number": "870-862-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-862-1577",
            "fax_number": "870-862-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF EL DORADO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "870-862-1577",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134938002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Promed Ambulance,Inc.
• Provision Health Care LLC
• Matthew A Pryor
• Sandra F. Pugh, OTD, OTRL
• Lexi Ann Pyle, PTA
• Deborah Marie Rago, LCSW
• Quesiaz Ramirez
• John Baxter Ratcliff, M.D.
• Robin P Ray, MD
• Jenny Readhimer

• Specialist in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.