Cumberland Radiology PSC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

25769 Issued in KY

Legal business name

CUMBERLAND RADIOLOGY PSC

Practice address

145 Perciful St
Mount Vernon, KY 40456-2740

Phone

(706) 226-6806

Fax

(706) 226-6806

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Donald Dooley, M. D.

Title

Pres

Phone

(606) 256-4208

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1962624064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1270",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404561270",
            "telephone_number": "706-226-6806",
            "fax_number": "706-226-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PERCIFUL ST",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562740",
            "telephone_number": "706-226-6806",
            "fax_number": "706-226-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND RADIOLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "606-256-4208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "25769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64257637",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000349604",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Lynn Collier, LCSW
• Commonweath Urology PSC
• Brandon Cowan, MD
• Melissa Leann Crockett, APRN
• Cumberland Foot and Ankle Centers
• Cumberland Valley Dist. Health Dept.
• Cumberland Valley District Health Department
• Larry Paul Davenport
• Zachary Davis, NP
• Angela Richelle Debord Isaacs, DO

• Diagnostic Radiology Physician in Mount Vernon, KY
• Providers in Mount Vernon, 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 Dec 10, 2007; 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.