Provider Demographics
NPI:1518299957
Name:F&S RADIOLOGY, P.C.
Entity type:Organization
Organization Name:F&S RADIOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-450-4684
Mailing Address - Street 1:PO BOX 3371
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-3371
Mailing Address - Country:US
Mailing Address - Phone:954-939-5000
Mailing Address - Fax:
Practice Address - Street 1:3600 S HIGHLANDS AVE
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-5416
Practice Address - Country:US
Practice Address - Phone:954-939-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-10
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC057763900Medicaid
PA1025173750001Medicaid
AZ681560Medicaid
CA1518299957Medicaid
SCGP5506Medicaid
FL0020746Medicaid
GA003116726AMedicaid
OH3076853Medicaid
KY7100111880Medicaid
MD442184100Medicaid
COCOA100598Medicare PIN
MOMA3860Medicare PIN
ORR171487Medicare PIN
NC2347962Medicare PIN
NJ183493Medicare PIN
MA0015635Medicare PIN
PA1025173750001Medicaid
FL0020746Medicaid
LA5DQ46Medicare PIN
OH9389321Medicare PIN
CACZ221HMedicare PIN
ILF100113437Medicare PIN
GA202G704350Medicare PIN
DC184556Medicare PIN
ID1369044Medicare PIN
AZ681560Medicaid
KY7100111880Medicaid
SCGP5506Medicaid
HIDK143AMedicare PIN
NDN718704Medicare PIN
OH3076853Medicaid
DC057763900Medicaid
GA003116726AMedicaid
SC9641Medicare PIN
CTD100129855Medicare PIN
NVEQ075AMedicare PIN
WAG8917958Medicare PIN
KYP100026002Medicare PIN
VAVAA103972Medicare PIN
MD182831Medicare PIN
FLDG370AMedicare PIN
MOMA3859Medicare PIN
AZZ147048Medicare PIN
ME001717401Medicare PIN
VT0017174Medicare PIN
NVEQ075AMedicare PIN
KYP100026002Medicare PIN