SHIELDS IMAGING OF LOWELL GENERAL HOSPITAL LLC (NPI# 1235414368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235414368 |
| Entity Type | Organization |
| Organization Name | SHIELDS IMAGING OF LOWELL GENERAL HOSPITAL LLC |
| Practice Address |
295 Varnum Ave Lowell MA 01854-2134 |
| Mailing Address |
55 Christy Dr Brockton MA 02301-1813 |
| Practice Telephone | 9789376023 |
| Practice Fax Number | 9789376898 |
| Mailing Telephone | 5088971501 |
| Mailing Fax Number | 5088971599 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | MR. JEFF RONNER (CFO) |
| Authorized Official Telephone | 6173767416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110092144A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366871469 | Shields Imaging of Lowell General Hospital LLC | Clinic/Center | 1 Hospital Dr, Lowell, MA 01852-1311 | 2013-11-08 |
| 1306121439 | Shields Imaging of Lowell General Hospital LLC | Clinic/Center | 10 Research Pl, N Chelmsford, MA 01863-2456 | 2011-10-20 |
| Street Address |
295 VARNUM AVE |
| City | LOWELL |
| State | MA |
| Zip Code | 01854-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931597 | Jonas J Berman | Radiology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2005-06-02 |
| 1437758125 | Amy Marie Dellogono | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-10-22 |
| 1720686108 | Emily Rose Claude | Family Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-10-16 |
| 1265041305 | The Lowell General Hospital | Emergency Medical Technician, Paramedic | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-07-24 |
| 1639714744 | Shara A King | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-11-12 |
| 1861036451 | Obhg Massachusetts - Lowell PC | Emergency Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-11-06 |
| 1871147264 | Ronald Wilson Makarutsa | Registered Nurse | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-07-24 |
| 1780236786 | Andrea Jennifer Desmond | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-07-10 |
| 1235791831 | Nicole Nolan | Pharmacist | 295 Varnum Ave, Lowell, MA 01854-2193 | 2019-07-03 |
| 1578123253 | Alec Garabedian | Nurse Anesthetist, Certified Registered | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in zip 01854 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366871469 | Shields Imaging of Lowell General Hospital LLC | Clinic/Center | 1 Hospital Dr, Lowell, MA 01852-1311 | 2013-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764186 | Winchester Hospital - Shields Mri LLC | Clinic/Center | 41 Highland Ave Ste G1, Winchester, MA 01890-1446 | 2019-11-14 |
| 1619446325 | Umass Memorial Mri & Imaging Center, LLC | Clinic/Center | 55 Lake Ave N Ste H1-351a, Worcester, MA 01655-0002 | 2018-11-26 |
| 1245654557 | Umass Memorial Mri & Imaging Center LLC | Clinic/Center | 55 Lake Ave N Ste H1-713b, Worcester, MA 01655-0002 | 2014-02-06 |
| 1073801551 | Umass Memorial Mri & Imaging Center, LLC | Clinic/Center | 28 Newton Street, Southborough, MA 01772-1215 | 2011-07-18 |
| 1609952845 | Central Massachusetts Magnetic Imaging Center Inc | Clinic/Center | 367 Plantation Street, Worcester, MA 01605 | 2006-10-31 |
| 1902855489 | Fall River/new Bedford Regional Mri Limited Partnership | Clinic/Center | 361 Allen St, New Bedford, MA 02740-2107 | 2006-05-10 |
| 1285683474 | Shields Mri & Imaging Center of Cape Cod, LLC | Clinic/Center | 2 Iyanough Rd, Route 28, W Yarmouth, MA 02673-8135 | 2006-05-08 |
| 1144279274 | South Shore Mri, Limited Partnership | Clinic/Center | 26 Rockway Ave, Weymouth, MA 02188-3906 | 2006-05-08 |
| 1831148014 | Massachusetts Bay Regional Mri Limited Partnership | Clinic/Center | 161 Granite Ave, Dorchester Center, MA 02124-5453 | 2006-05-08 |
| 1730138868 | Shields Mri of Framingham, LLC | Clinic/Center | 14 Cochituate Rd, Framingham, MA 01701-7915 | 2006-05-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHIELDS IMAGING OF LOWELL GENERAL HOSPITAL LLC.
| 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.