BLUERIDGE DIAGNOSTIC IMAGING
NPI 1093835100
Radiology - Diagnostic Radiology in Richmond, KY

Active since March 30, 2007
103 ALYCIA DR, RICHMOND, KY 40475(859) 626-0484(859) 626-3663 Get Directions Write a Review

NPPES record last updated: July 20, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Radiology
  • Diagnostic Radiology

About BLUERIDGE DIAGNOSTIC IMAGING

This page provides the complete NPI Profile along with additional information for Blueridge Diagnostic Imaging, a provider established in Richmond, Kentucky operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1093835100 assigned on March 2007. The practitioner's primary taxonomy code is 2085R0202X with license number 27798 (KY). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Blueridge Diagnostic Imaging. The authorized official of this NPI record is Dr. Timothy E Dineen M.d. (Radiologist)

NPI
1093835100 Verify this NPI
Provider Legal Name
TIMOTHY DINEEN M.D.
Other Organization Name
BLUERIDGE DIAGNOSTIC IMAGING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
103 ALYCIA DR RICHMOND, KY 40475
Location Phone
(859) 626-0484
Location Fax
(859) 626-3663
Mailing Address
PO BOX 909 BEREA, KY 40403
Mailing Phone
(859) 626-0484
Mailing Fax
(859) 626-3663
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2007
Last Update Date
07-20-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
27798
License State
KY
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TIMOTHY E DINEEN M.D.

Authorized Official Title
RADIOLOGIST
Authorized Official Phone
(859) 626-0484

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
64277981MEDICAID (05)KY 
F79479MEDICARE UPIN (02)KY 
6679MEDICARE ID-TYPE UNSPECIFIED (04)KY 

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
103 ALYCIA DR
RICHMOND, KY 40475
Radiology (Diagnostic Radiology)
103 ALYCIA DR
RICHMOND, KY 40475
Family Medicine
103 ALYCIA DR, STE 2
RICHMOND, KY 40475
Nurse Practitioner
103 ALYCIA DR, SUITE 2
RICHMOND, KY 40475
Clinic/Center (Radiology)
103 ALYCIA DR
RICHMOND, KY 40475
Internal Medicine
103 ALYCIA DR
RICHMOND, KY 40475
Internal Medicine
103 ALYCIA DR
RICHMOND, KY 40475
Family Medicine
103 ALYCIA DR
RICHMOND, KY 40475
Clinic/Center (Rural Health)
103 ALYCIA DR
RICHMOND, KY 40475

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093835100, enumerated as an "organization" on March 30, 2007.

The provider is located at 103 ALYCIA DR RICHMOND, KY 40475 and the phone number is (859) 626-0484.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.