MEDICARE: RADIOLOGY PHYSICIANS OF SPRINGFIELD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891795753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIOLOGY PHYSICIANS OF SPRINGFIELD

Provider Business Mailing Address
First Line	:	PO BOX 713170
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43271-3170
Country	:	US
Telephone Number	:	866-684-1485
Fax Number	:

Provider Business Practice Location Address
First Line	:	1343 N FOUNTAIN BLVD
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45504-1422
Country	:	US
Telephone Number	:	937-390-5000
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FREDDY M KATAI
Credential	:	MD
Telephone Number	:	934-390-5000

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	07/19/2007

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Directions to “RADIOLOGY PHYSICIANS OF SPRINGFIELD ” Practice Location

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