JOHN CLYDE CHILDRESS M.D. NPI 1780902841

NPI Information

  • NPI: 1780902841
  • Provider Name: JOHN CLYDE CHILDRESS, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5900 BYRON CENTER AVE SW
    WYOMING, MI
    ZIP 49519
  • Phone: (616) 252-7159

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NPI Details

John Clyde Childress, M.D. is a diagnostic radiology radiology in Wyoming, MI with 16 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. John Clyde Childress, M.D. NPI is 1780902841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2010

The provider's business location address is:

5900 BYRON CENTER AVE SW
WYOMING, MI
ZIP 49519-606
Phone: (616) 252-7159

The NPI 1780902841 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ct scan of abdomen before and after contrast (HCPCS:74170)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older (HCPCS:36573)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Complete ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93975)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Mri scan of abdomen without contrast (HCPCS:74181)
  • Double contrast x-ray of esophagus (HCPCS:74221)
  • Ct scan of pelvis with contrast (HCPCS:72193)

The enumeration date for this NPI number is 5/13/2010 and was last updated on 9/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology0101284952VIRGINIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32085R0202XRadiologyDiagnostic RadiologyMD61654673WASHINGTONNo
42085R0202XRadiologyDiagnostic Radiology4301096654MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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