Provider Demographics
NPI:1235123977
Name:WINCHESTER RADIOLOGISTS PC
Entity Type:Organization
Organization Name:WINCHESTER RADIOLOGISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:REPASKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-545-4674
Mailing Address - Street 1:PO BOX 71183
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28272-1183
Mailing Address - Country:US
Mailing Address - Phone:330-564-2660
Mailing Address - Fax:540-686-1601
Practice Address - Street 1:1840 AMHERST ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2808
Practice Address - Country:US
Practice Address - Phone:540-563-8750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CC3178OtherRAILROAD MEDICARE
WV0011752-000Medicaid
VA001059OtherANTHEM BCBS-AMHERST
VA275277OtherANTHEM BCBS-EXETER
VA275277OtherANTHEM BCBS-EXETER