Healthcare Provider Details

I. General information

NPI: 1992832711
Provider Name (Legal Business Name): NEW CASTLE RADIOLOGY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N 16TH ST
NEW CASTLE IN
47362-4319
US

IV. Provider business mailing address

PO BOX 66468
INDIANAPOLIS IN
46266-6468
US

V. Phone/Fax

Practice location:
  • Phone: 765-521-1135
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: TODD B WRIGHT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 765-521-1135