NORTHWEST RADIOLOGY (NPI# 1104098441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104098441 |
| Entity Type | Organization |
| Organization Name | NORTHWEST RADIOLOGY |
| Practice Address |
36 Bridge Way Pascoag RI 02859-3131 |
| Practice Telephone | 4015687661 |
| Practice Fax Number | 4015670900 |
| Mailing Telephone | 4015687661 |
| Mailing Fax Number | 4015670900 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-04-16 |
| Authorized Official Name | MR. PETER BANCROFT (CEO) |
| Authorized Official Telephone | 4015687661 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHWEST COMMUNITY HEALTH CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
RAD0142 | RI | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NORTHWEST RADIOLOGY NETWORK, P.C. | 5901 Technology Center Dr, Indianapolis, IN 46278-6013 |
| Street Address |
36 BRIDGE WAY |
| City | PASCOAG |
| State | RI |
| Zip Code | 02859-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245219070 | Northwest Community Health Care | Clinic/Center | 36 Bridge Way, Pascoag, RI 02859 | 2006-01-11 |
| 1699311753 | Miryam Amelia Boucher | Registered Nurse | 36 Bridge Way, Pascoag, RI 02859-3131 | 2019-11-25 |
| 1699335059 | Jessica Wood | Specialist/Technologist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2019-06-18 |
| 1477048098 | Ashleigh Nicole Graley | Dentist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2018-06-26 |
| 1275032476 | Alice Mui | Registered Nurse | 36 Bridge Way, Pascoag, RI 02859-3131 | 2018-02-03 |
| 1942721246 | Leslie Bumpus | Dentist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2017-06-28 |
| 1275932311 | Sarah C. Gulla | Nurse Practitioner | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-08-14 |
| 1194134601 | Khantil R Shah | Dentist | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-08-08 |
| 1235548371 | Stephanie Pinto | Nurse Practitioner | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-08-02 |
| 1700291861 | Kendra Crotty | Registered Nurse | 36 Bridge Way, Pascoag, RI 02859-3131 | 2014-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811397763 | Patricia Scuncio | Physical Therapy Assistant | 252 Donahue Road, Pascoag, RI 02859 | 2014-08-28 |
| 1134479520 | Kimberly Mary Cote | Social Worker | 2078 Wallum Lake Rd., Pascoag, RI 02859 | 2012-09-13 |
| 1487923793 | Northwest Community Health Care | Clinic/Center | 999 S. Main Street, Pascoag, RI 02859 | 2011-12-16 |
| 1730343666 | James Edward Sullivan | Counselor | 2076 Wallum Lake Rd, Pascoag, RI 02859 | 2008-07-10 |
| 1427243682 | Julie A. Vander Schel | Counselor | 2076 Wallum Lake Road, Pascoag, RI 02859 | 2007-09-11 |
| 1699985226 | Donna Watson | Counselor | 2198 Wallum Lake Rd., Pascoag, RI 02859 | 2007-05-23 |
| 1194817197 | Purvi Chokshi | Internal Medicine | 2090 Wallum Lake Road, Pascoag, RI 02859 | 2006-09-28 |
| 1659395622 | Dennis Edward Joyce | Counselor | 2198 Wallum Lake Road, Pascoag, RI 02859 | 2006-07-26 |
| 1427087782 | Robert James Brothers | Counselor | 2198 Wallum Lake Rd, Pascoag, RI 02859 | 2006-06-30 |
| 1194002972 | Northwest Community Health Care | Community/Behavioral Health | 1 High Street, Pascoag, RI 02859 | 2011-11-08 |
| Find all providers in zip 02859 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762368 | Christopher Iwuc | Clinic/Center | 593 Eddy St, Providence, RI 02903-4970 | 2020-05-26 |
| 1265615579 | Inmed Diagnostic Services of Ri, LLC | Clinic/Center | 450 Veterans Memorial Pkwy, E Providence, RI 02914-5300 | 2007-12-10 |
| 1831372143 | Inmed Diagnostic Services of Ri, LLC | Clinic/Center | 469 Centerville Rd, Suite 103, Warwick, RI 02886-4354 | 2007-12-10 |
Please comment or provide details below to improve the information on NORTHWEST RADIOLOGY.
| 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.