NORTHERN CHAUTAUQUA RADIOLOGY LLC (NPI# 1174743173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174743173 |
| Entity Type | Organization |
| Organization Name | NORTHERN CHAUTAUQUA RADIOLOGY LLC |
| Practice Address |
189 E Main St Westfield NY 14787-1104 |
| Mailing Address |
Po Box 110 Fredonia NY 14063-0110 |
| Practice Telephone | 7163639342 |
| Mailing Telephone | 7163636342 |
| Mailing Fax Number | 7163636345 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JON A MUNTZ (PRESIDENT) |
| Authorized Official Telephone | 7163636342 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
185798 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 000511785004 | 01 | |
| UNIVERA | 00026704301 | 01 | |
| NY | 01246304 | 05 |
| Street Address |
189 E MAIN ST |
| City | WESTFIELD |
| State | NY |
| Zip Code | 14787-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083698658 | Bradford W Buege | Emergency Medicine | 189 E Main St, Westfield, NY 14787-1104 | 2005-12-06 |
| 1356855100 | Westfield Memorial Hospital, Inc. | Clinic/Center | 189 E Main St, Westfield, NY 14787-1104 | 2017-11-30 |
| 1962711853 | Amy Ruth Webb | Speech-Language Pathologist | 189 E Main St, Westfield, NY 14787-1104 | 2010-09-27 |
| 1568778629 | Charles Phillip Garriott | Emergency Medicine | 189 E Main St, Westfield, NY 14787-1104 | 2010-08-27 |
| 1407032790 | Heather K Shriver | Physical Therapist | 189 E Main St, Westfield Memorial Hospital, Westfield, NY 14787-1104 | 2008-01-16 |
| 1093801482 | Saint Vincent Medical Education and Research Institute | Family Medicine | 189 E Main St, Westfield, NY 14787-1104 | 2006-10-05 |
| 1336164110 | P&p Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 189 E Main St, Westfield, NY 14787-1104 | 2006-07-13 |
| 1942236427 | Westfield Memorial Hospital, Inc. | General Acute Care Hospital | 189 E Main St, Westfield, NY 14787-1104 | 2006-06-24 |
| 1144271164 | John Bielinski Jr. | Physician Assistant | 189 E Main St, Westfield, NY 14787-1104 | 2006-05-15 |
| 1588612204 | Pragna B Sutaria | Emergency Medicine | 189 E Main St, Westfield, NY 14787-1104 | 2006-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174093736 | Jacob Tyler Damcott | Physical Therapist | 189 East Main Street, Westfield, NY 14787 | 2018-11-27 |
| 1780033647 | Sherry Northrop | Licensed Practical Nurse | 7406 Light Rouad, Westfield, NY 14787 | 2016-06-10 |
| 1699026658 | Ryan Mayle | Physician Assistant | 138 East Main St., Westfield Family Physicians, Westfield, NY 14787 | 2012-09-30 |
| 1487833117 | Sarah Michelle Cook | Physician Assistant | 138 East Main St, Westfield, NY 14787 | 2007-10-30 |
| 1649765108 | Bethany Ellis | Licensed Practical Nurse | 14 Franklin St, Westfield, NY 14787-1009 | 2018-06-27 |
| 1821219239 | Community Radiology, Pllc | Radiology | 185 E Main St, Westfield, NY 14787-1104 | 2007-05-01 |
| 1801167200 | Karin Seager Cockram | Occupational Therapist | 203 E Main St, Westfield, NY 14787-1104 | 2012-01-18 |
| 1942496369 | Penn North Centers for Advanced Wound Care Inc | Durable Medical Equipment & Medical Supplies | 185 E Main St, Westfield, NY 14787-1104 | 2007-09-19 |
| 1275680316 | Westfield Central School | Local Education Agency (LEA) | 203 E Main St, Westfield, NY 14787-1104 | 2007-01-04 |
| 1477590354 | Westfield Healthcare Center, Inc | Skilled Nursing Facility | 26 Cass St, Westfield, NY 14787-1113 | 2006-06-01 |
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| Taxonomy Code | 2085D0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Neuroimaging |
| A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. |
| Notes: Source: American Academy of Neurology, www.aan.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295008688 | Advanced Diagnostic Imaging Pllc | Radiology | 90-20 Elmhurst Avenue, Jackson Heights, NY 11372-7936 | 2012-02-15 |
| 1992020580 | First Stop Solutions Inc. | Radiology | 33 W Hawthorne Ave, Suite 22, Valley Stream, NY 11580-6207 | 2010-04-07 |
| 1306875067 | Paul Benjamin Rolen | Radiology | 2166 Broadway Apt 21a, New York, NY 10024-6673 | 2006-07-02 |
| 1124655352 | Imaging Subspecialist of New York | Radiology | 110 Crystal Run Rd, Middletown, NY 10941-4040 | 2020-03-26 |
| 1083911937 | Radiology of Westchester PC | Radiology | 933 Saw Mill River Rd, Ardsley, NY 10502-1106 | 2011-02-11 |
| 1144547233 | Richard Jiao | Radiology | 30 Columbia St, Poughkeepsie, NY 12601-3906 | 2010-04-28 |
| 1386960136 | Brett J Huston | Radiology | 435 E 70th St, Apt. 33j, New York, NY 10021-5342 | 2010-04-18 |
| 1346485091 | Daniel Lawrence Klein | Radiology | 990 Stewart Ave, Suite 400, Garden City, NY 11530-4822 | 2008-12-10 |
| 1255508073 | Slr Diagnostic Radiology, P.C. | Radiology | 3201 Kings Hwy, Dept of Radiology, Brooklyn, NY 11234-2625 | 2008-05-12 |
| 1205013646 | Weill Cornell Imaging At Nyp | Radiology | 520 E 70th St, Jo, New York, NY 10021-9800 | 2008-01-29 |
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| 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.