Organization
MAYSVILLE RADIOLOGY ASSOCIATES, PSC
Active
Organization
MAYSVILLE RADIOLOGY ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S HARTMAN MD (PRESIDENT)
(606) 759-3130
Entity
Organization
Contact information
Practice address
989 MEDICAL PARK DR, MAYSVILLE, KY 41056-8750
(606) 759-3130
(502) 223-9829
Mailing address
PO BOX 813, MAYSVILLE, KY 41056-0813
(606) 759-3130
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19217
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000058821
ANTHEM BC/BS PIN
KY
05
—
64192172
—
KY
01
—
8759011
UNITED HEALTHCARE PIN
KY
01
—
C74139
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
07/15/2005
Last updated
07/01/2014
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