Active NPI
Northeast Kentucky Imaging Inc
- Diagnostic Radiology Physician
- Ashland, KY
National Provider Identifier
1962492066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- NORTHEAST KENTUCKY IMAGING INC
- Practice address
- 1000 Saint Christopher Dr
Ashland, KY 41101-7034 - Phone
- (606) 833-2273
- NPI assigned
- Oct 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugene R Degiorgio, MD
- Title
- President
- Phone
- (866) 286-5888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1000 Saint Christopher Dr
Ashland, KY 41101-7034
Mailing address
PO Box M
Russell, KY 41169-0510
Phone (866) 286-5888
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65908204 | Medicaid | KY | |
| 0202995000 | Medicaid | WV | |
| 2610786 | Medicaid | OH | |
| 3810004299 | Medicaid | WV | |
| 3810004361 | Medicaid | WV | |
| 2610777 | Medicaid | OH | |
| 3810004300 | Medicaid | WV | |
| 3810004320 | Medicaid | WV | |
| 3810004338 | Medicaid | WV | |
| 2610811 | Medicaid | OH | |
| 2610857 | Medicaid | OH | |
| 3810004362 | Medicaid | WV | |
| 0524696 | Medicaid | OH | |
| 2610802 | Medicaid | OH | |
| 2610839 | Medicaid | OH | |
| 000000063419 | Other | KY | BCBS |
| 2610820 | Medicaid | OH | |
| 3810004321 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
122 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 836-0202
2900 Winchester Ave
Ashland, KY 41101
Phone (606) 329-9333
1005 E Ring Rd
Ironton, OH 45638
Phone (740) 533-3950
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1235137704
-
- Advanced Practice Midwife
- Ashland, KY
- NPI 1073604096
-
- Advanced Practice Midwife
- Ashland, KY
- NPI 1396096905
-
- Diagnostic Radiology Physician
- Prestonsburg, KY
- NPI 1093734121
-
- Vascular & Interventional Radiology Physician
- Huntington, WV
- NPI 1952388548
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216857600000",
"number": "1962492066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX M",
"city": "RUSSELL",
"state": "KY",
"postal_code": "411690510",
"telephone_number": "866-286-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 SAINT CHRISTOPHER DR",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017034",
"telephone_number": "606-833-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST KENTUCKY IMAGING INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-28",
"last_updated": "2008-07-24",
"status": "A",
"authorized_official_last_name": "DEGIORGIO",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "866-286-5888",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65908204",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0202995000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2610786",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004299",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004361",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2610777",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004300",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004320",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004338",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2610811",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2610857",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004362",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0524696",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2610802",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2610839",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000063419",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2610820",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004321",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.