NORTHWEST DIAGNOSTIC IMAGING, INC (NPI# 1033150503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033150503 |
| Entity Type | Organization |
| Organization Name | NORTHWEST DIAGNOSTIC IMAGING, INC |
| Other Organization Name | MRI & IMAGING OF JOHNS CREEK |
| Practice Address |
6630 Mcginnis Ferry Rd Johns Creek GA 30097-1542 |
| Mailing Address |
Po Box 932391 Atlanta GA 31193-2391 |
| Practice Telephone | 7706229158 |
| Practice Fax Number | 7706234992 |
| Mailing Telephone | 6783935600 |
| Mailing Fax Number | 7703009018 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2008-05-20 |
| Authorized Official Name | MR. DANIEL J SCHAEFER (COO) |
| Authorized Official Telephone | 7703000101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | CA0798 | 01 |
| GA | RAILROAD MEDICARE | CH7800 | 01 |
| GA | RAILROAD MEDICARE | DA0357 | 01 |
| Other Name | Type Code |
|---|---|
| MRI & Imaging of Johns Creek | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194706606 | Northwest Diagnostic Imaging, Inc | Radiology | 1608 Tree Ln, Building D Suite 400, Snellville, GA 30078-2399 | 2005-11-10 |
| 1457332967 | Northwest Diagnostic Imaging, Inc | Specialist | 2416 Westgate Dr, Albany, GA 31707-8204 | 2005-11-10 |
| 1003897513 | Northwest Diagnostic Imaging, Inc | Radiology | 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 | 2005-11-10 |
| 1821079336 | Northwest Diagnostic Imaging, Inc | Radiology | 300 Parkbrooke Pl, Suite 170, Woodstock, GA 30189-7209 | 2005-11-10 |
| 1225019730 | Northwest Diagnostic Imaging, Inc | Radiology | 100 Mountain View Dr, Suite 200, Cumming, GA 30040-2434 | 2005-11-10 |
| 1023099538 | Northwest Diagnostic Imaging, Inc | Radiology | 600 W Peachtree St Nw, Suit 140, Atlanta, GA 30308-3607 | 2005-11-10 |
| 1851372361 | Northwest Diagnostic Imaging, Inc | Radiology | 638 441 Historic Hwy N, Suite D, Demorest, GA 30535-4566 | 2005-11-10 |
| 1326029828 | Northwest Diagnostic Imaging, Inc | Radiology | 3200 Cobb Galleria Pkwy, Suite 120, Atlanta, GA 30339-5927 | 2005-11-10 |
| 1760463509 | Northwest Diagnostic Imaging, Inc | Radiology | 425 Broad St Se, Gainesville, GA 30501-3712 | 2005-11-09 |
| 1508847328 | Northwest Diagnostic Imaging, Inc | Radiology | 2287 Salem Rd Se, Conyers, GA 30013-2025 | 2005-11-09 |
| Street Address |
6630 MCGINNIS FERRY RD |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097-1542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639541485 | Chan Kyu Park | Chiropractor | 6630 Mcginnis Ferry Rd, Suite B, Johns Creek, GA 30097-2164 | 2015-10-20 |
| 1588908685 | Better Spine Better Health, LLC | Chiropractor | 6630 Mcginnis Ferry Rd, Suite B, Johns Creek, GA 30097-1542 | 2012-11-15 |
| 1740450071 | Comprehensive Foot & Ankle, LLC | Podiatrist | 6630 Mcginnis Ferry Rd, Suite B, Johns Creek, GA 30097-1542 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962483701 | Northwest Diagnostic Imaging, Inc | Radiology | 10670a Medlock Bridge Rd, Johns Creek, GA 30097-8404 | 2005-11-09 |
| 1942733308 | Pro Radiology, LLC | Radiology | 3921 Johns Creek Ct, Suite B, Johns Creek, GA 30024 | 2017-04-04 |
| 1396903423 | Regina Khanna | Radiology | 6325 Hospital Pkwy, Johns Creek, GA 30097-5775 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650136 | Tbi Diagnostic Centers of Georgia | Radiology | 4294 Memorial Dr Ste D, Decatur, GA 30032-1226 | 2020-08-21 |
| 1912464702 | Vickie Consuella71 Bush | Radiology | 3701 Bermuda Run Dr, Valdosta, GA 31605-1059 | 2019-02-27 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1578061636 | Subspecialty Imaging, LLC | Radiology | 1495 Hickory Flat Hwy Ste 150, Canton, GA 30115-4229 | 2018-01-24 |
| 1205354693 | Zenith Radiology LLC | Radiology | 1059 Windermere Xing, Cumming, GA 30041-6104 | 2017-09-06 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| 1902346422 | Allegiance Imaging and Radiology LLC | Radiology | 900 Thornton Rd, Ste A, Lithia Springs, GA 30122-2641 | 2017-03-02 |
| 1518406743 | Flexogenix Georgia PC | Radiology | 4600 Roswell Rd Unit E210, Sandy Springs, GA 30342-3197 | 2017-02-21 |
| 1649727215 | Metro Imaging Cumming, LLC | Radiology | 4150 Deputy Bill Cantrell Memorial Road, Cumming, GA 30040 | 2016-09-01 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS CREEK |
| Zip Code | 30097 |
Please comment or provide details below to improve the information on NORTHWEST DIAGNOSTIC IMAGING, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.