Active NPI
Professional Radiology Services, PA
- Diagnostic Radiology Physician
- Rogers, AR
National Provider Identifier
1972568475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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 DirectoryLocations
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.