Organization Active NPI

Professional Radiology Services, PA

  • Diagnostic Radiology Physician
  • Rogers, AR
National Provider Identifier
1972568475
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PROFESSIONAL RADIOLOGY SERVICES, PA
Practice address
302 N 8TH St
Suite 3
Rogers, AR 72756-3738
Phone
(479) 631-9766
Fax
(479) 631-9492
NPI assigned
Apr 18, 2006
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
Dr. John Keith Hedgecock, MD
Title
President
Phone
(479) 631-9766

Specialties & licenses 1

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

Addresses

Primary practice location

302 N 8TH St
Suite 3
Rogers, AR 72756-3738

Mailing address

PO Box 1688
Rogers, AR 72757-1688
Phone (479) 631-9766

National Provider Directory

National Provider Directory

Locations

302 N 8th St
Ste 3
Rogers, AR 72756
Phone (479) 631-9766

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972568475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1688",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727571688",
            "telephone_number": "479-631-9766",
            "fax_number": "479-631-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N 8TH ST",
            "address_2": "SUITE 3",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563738",
            "telephone_number": "479-631-9766",
            "fax_number": "479-631-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RADIOLOGY SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEDGECOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-631-9766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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 Rogers, AR

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.