NPIMap

Organization Active NPI

Central Physicians Imaging

  • Radiology Clinic/Center
  • Lexington, KY
National Provider Identifier
1962628727
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
730092 Issued in KY
Legal business name
CENTRAL PHYSICIANS IMAGING
Practice address
100 Southland Dr
Suite B
Lexington, KY 40503-1927
Phone
(859) 260-7025
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brent Tussey
Title
Business Manager
Phone
(859) 260-7037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 730092 KY Primary

Addresses

Primary practice location

100 Southland Dr
Suite B
Lexington, KY 40503-1927

Mailing address

PO Box 910964
Lexington, KY 40591-0964
Phone (859) 260-7025

Other identifiers 1

IdentifierTypeStateIssuer
86000478MedicaidKY

National Provider Directory

National Provider Directory

Locations

100 Southland Dr
#B
Lexington, KY 40503
Phone (859) 260-7006

100 Southland Dr
Ste B
Lexington, KY 40503
Phone (859) 260-7025

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962628727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910964",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405910964",
            "telephone_number": "859-260-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTHLAND DR",
            "address_2": "SUITE B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031927",
            "telephone_number": "859-260-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHYSICIANS IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUSSEY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "859-260-7037"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "KY",
            "license": "730092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86000478",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.