KANAWHA VALLEY RADIOLOGISTS INCORPORATED
NPI 1609975630
Radiology - Diagnostic Radiology in South Charleston, WV

Q: What is Kanawha Valley Radiologists Incorporated's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since September 22, 2006

4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309(304) 766-3600(304) 343-4626 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2022, Apr 9, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Kanawha Valley Radiologists Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANAWHA VALLEY RADIOLOGISTS INCORPORATED (NPI 1609975630) is a healthcare organization registered as a diagnostic radiology in South Charleston, West Virginia and active in the NPI registry since September 2006. The organization maintains 3 additional practice locations and lists Daniel A Rodgers, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1609975630

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameKANAWHA VALLEY RADIOLOGISTS INCORPORATED

Location Address4605 MACCORKLE AVE SWSouth Charleston, WV 25309-1311

Mailing AddressPo Box 840Lima, OH 45802-0840 · (877) 574-7116 · Fax (419) 223-2726

Phone(304) 766-3600

Fax(304) 343-4626

Organization SubpartNo

Authorized OfficialDaniel A RodgersAuthorized Official · (304) 343-4625

Enumeration DateSeptember 22, 2006

Last NPPES UpdateApril 22, 20224 updates tracked since enumeration

NPPES CertifiedApril 22, 2022

✔ NPI 1609975630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4605 MACCORKLE AVE SW, South Charleston, WV 25309

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Secondary Practice Locations 3

Location 1333 Laidley StCharleston, WV 25301-1614 · Phone (304) 347-6500

Location 24800 MacCorkle Ave SWSouth Charleston, WV 25309-1332 · Phone (304) 767-7730

Location 32520 Valley DrPoint Pleasant, WV 25550-2031 · Phone (304) 675-4340

Other Identifiers 6

Other0216288OH · Ohio Medicaid

Medicaid0060705OH

Other001709440WV · Mt State Blue Cross Grp #

Other020021700WV · Federal Black Lung

Medicaid0008099000WV

Other5643WV · Carelink

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUSTIN CRITES

Physician Assistant