Mr. Paul L Rodriguez
Radiology (Diagnostic Radiology)

Address: 4713 N Portwest Cir, Wichita, KS 67204-2356
Phone: 3167295517

Mr. Paul L Rodriguez (NPI# 1841209236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1841209236
Entity Type Individual
Full Name Mr. Paul L Rodriguez
Credential MD
Gender Male
Practice Address 4713 N Portwest Cir
Wichita
KS 67204-2356
Practice Telephone 3167295517
Practice Fax Number 3167295655
Mailing Address 4713 N Portwest Cir
Wichita
KS 67204-2356
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-08-05
Last Update Date 2016-01-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians 10166 OK
No 2085R0202X Radiology · Diagnostic Radiology Allopathic & Osteopathic Physicians ME90262 FL
No 208D00000X General Practice Allopathic & Osteopathic Physicians 04-14664 KS

Other Provider Identifier

State Identifier Issuer Type Code
KS BCBS OF KS OTHER BCBS IND OF KS 000105163
OK 100206250B MEDICAID
OK P00272804 OTHER RR MEDICARE #
OK 7016639 OTHER AETNA
OK 248522505 OTHER MEDICARE

Other Providers PAUL RODRIGUEZ

NPI Name Taxonomy Address Enumeration
1396226080 Paul Andrew Rodriguez Home Health Aide 7710 W Ih 10 # West, San Antonio, TX 78230-4711 2018-08-22
1629057914 Paul A. Rodriguez Anesthesiology 1821 Ne 25th Street, Suite 100, Lighthouse Point, FL 33064 2006-01-13
1861981904 Paul M. Rodriguez Peer Specialist 1420 Green Acres Rd, Eugene, OR 97408-1791 2018-05-03
1467950840 Paul Rodriguez Licensed Practical Nurse 105 W Griggs Ave, Las Cruces, NM 88001-1235 2018-01-31
1821234642 Paul Michael Rodriguez Occupational Therapist 1991 Saul Kleinfeld Dr, El Paso, TX 79936-3757 2008-12-29
1447431853 Paul Rodriguez Counselor 1801 Vicente St, San Francisco, CA 94116-2923 2007-11-14
1366559775 Paul R Rodriguez Dentist 703 N Tejon St, Suite D, Colorado Springs, CO 80903-1094 2006-08-23
1790709996 Paul Nicholas Rodriguez Urology 245 Cherry St Se, Suite 202, Grand Rapids, MI 49503-4607 2006-07-27
1477559292 Paul A Rodriguez Radiology 715 N Saint Joseph Ave, Hastings, NE 68901-4451 2005-06-27

Physician Overview

NPI 1841209236
PAC ID by PECOS 7416857495
Professional Enrollment ID I20060201000505
Full Name Paul Rodriguez
Organization Legal Name VESTA SOLUTIONS GROUP LLC
Phone Number 3167295517
Gender M
Credential MD
Medical School UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE
Graduation Year 1966
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 2961675277
Number of Group Practice Members 13
Accepts Medicare Assignment Y

Office Location

Street Address 4713 N PORTWEST CIR
City WICHITA
State KS
Zip Code 67204-2356

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073666236 National Imaging, Ltd Radiology 4713 N Portwest Cir, Wichita, KS 67204-2356 2007-01-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528411444 Kelley Carlson Dentist 2203 N Sweetbriar St, Wichita, KS 67204 2016-07-15
1952570657 Wal-mart Store, Inc. Technician/Technologist 5475 N. Meridian, Wichita, KS 67204 2008-02-27
1992907141 Diane Jeanette Casey Physical Therapist 2812 W 61 St N, Rehab & Consulting Pa, Wichita, KS 67204 2007-06-01
1487836110 Walmart Inc. Durable Medical Equipment & Medical Supplies 5475 N Meridian Ave, Wichita, KS 67204-1620 2007-12-05
1083152540 Ray Tejeda Pharmacist 5475 N Meridian Ave, Wichita, KS 67204-1620 2017-02-05
1265989305 Sanjiv Patel Pharmacist 5475 N Meridian Ave, Wichita, KS 67204-1620 2016-09-07
1962618041 Laquita Riley Physical Therapist 5701 N Sedgwick St, Wichita, KS 67204-1831 2007-05-15
1417276791 House Call Medical Services Nurse Practitioner 5721 N Athenian Ave, Wichita, KS 67204-1844 2010-05-25
1710008495 Home Care Equipment, Inc. Durable Medical Equipment & Medical Supplies 703 W 53rd St N, Wichita, KS 67204-2237 2007-04-02
1962903906 Nalini Fraser Pharmacist 2806 W Driftwood Cir, Wichita, KS 67204-2340 2018-02-26
Find all providers in zip 67204

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205335551 Elias O Bernard Radiology 6505 E Central Ave Ste 208, Wichita, KS 67206-1924 2018-02-01
1760627616 Gdx, P.a. Radiology 6120 Shadybrook St, Wichita, KS 67208-1862 2008-12-06
1609940675 Wayne Mason Radiology 701 N Preston Trl, Wichita, KS 67230-1525 2006-11-20
1629162326 Great Plains Imaging, LLC Radiology 8925 W Maple St, Wichita, KS 67209-1462 2006-10-03
1376507590 Line Diagnostics Inc Radiology 630 S Hillside St, Wichita, KS 67211-2157 2006-04-14
1225034614 Claudia A Lawn Radiology 144 S Hillside St, Wichita, KS 67211-2154 2005-06-22
1013913490 Akash C. Joshi Radiology 551 N Hillside St, Ste 320, Wichita, KS 67214-4926 2005-06-22
1649750654 Edward Michael Asebedo Radiology 929 N Saint Francis St, Wichita, KS 67214-3821 2018-08-19
1154856508 Brian Lightwine Radiology 1010 N Kansas St, Wichita, KS 67214-3124 2017-04-24
1457884785 John Braun Radiology 1010 N Kansas St, Wichita, KS 67214-3124 2017-04-04
Find all providers in WICHITA

Competitor

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City WICHITA
Zip Code 67204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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