NORTHWEST DIAGNOSTIC IMAGING, INC (NPI# 1194706606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194706606 |
| Entity Type | Organization |
| Organization Name | NORTHWEST DIAGNOSTIC IMAGING, INC |
| Other Organization Name | OPEN MRI & IMAGING OF SNELLVILLE, LLC |
| Practice Address |
1608 Tree Ln Building D Suite 400 Snellville GA 30078-2399 |
| Mailing Address |
Po Box 932391 Atlanta GA 31193-2391 |
| Practice Telephone | 7709859040 |
| Practice Fax Number | 7709856502 |
| Mailing Telephone | 6783935600 |
| Mailing Fax Number | 7703009018 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2008-06-10 |
| 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 | CH7800 | 01 |
| GA | RAILROAD MEDICARE | CA0798 | 01 |
| GA | RAILROAD MEDICARE | DA0357 | 01 |
| GA | US DEPARTMENT OF LABOR | 226870805 | 01 |
| Other Name | Type Code |
|---|---|
| Open MRI & Imaging of Snellville, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033150503 | Northwest Diagnostic Imaging, Inc | Radiology | 6630 Mcginnis Ferry Rd, Johns Creek, GA 30097-1542 | 2006-06-08 |
| 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 |
1608 TREE LN BUILDING D SUITE 400 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-2399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255669982 | Stephen D. Carter | Dentist | 1608 Tree Ln, Suite 203b, Snellville, GA 30078-2399 | 2009-11-18 |
| 1871726950 | Open Mri of Georgia, Inc | Radiology | 1608 Tree Ln, Suite 400, Snellville, GA 30078-2399 | 2009-08-24 |
| 1407053044 | Mozhgan Zafar | Family Medicine | 1608 Tree Ln, Bldg. C, Snellville, GA 30078-2399 | 2007-06-28 |
| 1578651758 | Carter Family Dentistry | Dentist | 1608 Tree Ln, Suite 203b, Snellville, GA 30078-2399 | 2006-10-11 |
| 1396857587 | Maria Alban | Family Medicine | 1608 Tree Ln, Building C, Snellville, GA 30078-2399 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| 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 |
|---|---|---|---|---|
| 1215258231 | Arvind Sivakumaran | Radiology | 1700 Medical Way, Snellville, GA 30078-2195 | 2010-06-14 |
| 1871726950 | Open Mri of Georgia, Inc | Radiology | 1608 Tree Ln, Suite 400, Snellville, GA 30078-2399 | 2009-08-24 |
| 1477729051 | Michael Robert Aho | Radiology | 1700 Medical Way, Snellville, GA 30078-2195 | 2008-05-05 |
| 1740232677 | South Gwinnett Radiology PC | Radiology | 1700 Medical Way, Snellville, GA 30078 | 2006-05-17 |
| 1124092986 | Gautam Jagoo | Radiology | 1700 Medical Way, Snellville, GA 30078-2195 | 2006-02-16 |
| 1043284615 | Charlotte A Hayes | Radiology | 1700 Medical Way, Snellville, GA 30078-2195 | 2006-02-13 |
| 1619949773 | Shailaja R. Sappati | Radiology | 1700 Medical Way, Snellville, GA 30078-2195 | 2006-02-03 |
| 1306822192 | Robert J Kubek | Radiology | 1700 Medical Way, Snellville, GA 30078-2195 | 2005-12-22 |
| 1538145529 | Gregory S. Berkey | Radiology | 1700 Medical Way, Snellville, GA 30078-2195 | 2005-12-21 |
| 1629054622 | Beth D Kruse | Radiology | 1700 Medical Way, Snellville, GA 30078-2195 | 2005-12-21 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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.