JAMESTOWN IMAGING MANAGEMENT LLC (NPI# 1376546390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376546390 |
Entity Type | Organization |
Organization Name | JAMESTOWN IMAGING MANAGEMENT LLC |
Other Organization Name | JAMESTOWN OPEN MRI |
Practice Address |
779 Fairmount Ave Jamestown NY 14701-2608 |
Mailing Address |
15 S Main St Ste 250 Jamestown NY 14701-6626 |
Practice Telephone | 7166651198 |
Practice Fax Number | 7166652035 |
Mailing Telephone | 7166651198 |
Mailing Fax Number | 7166652035 |
Enumeration Date | 2005-05-23 |
Last Update Date | 2008-06-12 |
Authorized Official Name | MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER) |
Authorized Official Telephone | 5024031401 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Jamestown Open MRI | Doing Business As Name - Organization |
Street Address |
779 FAIRMOUNT AVE |
City | JAMESTOWN |
State | NY |
Zip Code | 14701-2608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093138810 | Circulatory Centers New York LLP | Specialist | 779 Fairmount Ave, Jamestown, NY 14701-2608 | 2014-01-30 |
1245500685 | Southern Tier Optometry Pllc | Optometrist | 779 Fairmount Ave, Jamestown, NY 14701-2608 | 2012-01-03 |
1083605745 | Kara I Gibbs | Optometrist | 779 Fairmount Ave, Jamestown, NY 14701-2608 | 2005-11-02 |
1952398935 | Bruce Howard Rockwell | Radiology | 779 Fairmount Ave, Jamestown, NY 14701-2608 | 2005-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952964314 | Jennifer Ware | Driver | 116 Tower St, Jamestown, NY 14701 | 2019-04-20 |
1962979005 | Kimberly Marlene Crasti | Student in an Organized Health Care Education/Training Program | 64 Ames Ave, Jamestown, NY 14701 | 2018-10-26 |
1679055032 | Hannah Abbott | Student in an Organized Health Care Education/Training Program | 118 Superior St., Jamestown, NY 14701 | 2018-09-02 |
1669952172 | Taylor Marie Genco | Registered Nurse | 110 E 4th Street, Jamestown, NY 14701 | 2018-08-15 |
1487163978 | Molly Morgante | Physical Therapy Assistant | 410 Crossman Street, Jamestown, NY 14701 | 2017-09-27 |
1053832097 | Amber Nicole Caylor | Licensed Practical Nurse | 48 Chautauqua Avenue, Jamestown, NY 14701 | 2017-06-29 |
1821520370 | John Robert Ferry | Registered Nurse | 500 Pine St., Suite #15, Jamestown, NY 14701 | 2017-04-03 |
1467905638 | Mental Health Association In Chautauqua County | Case Management | 31 Water Street, Suite 7, Jamestown, NY 14701 | 2016-07-25 |
1518336387 | Tracy Dudley | Licensed Practical Nurse | 764 Harding Ave, Jamestown, NY 14701 | 2015-09-22 |
1174922405 | Sylvia A Emerling | Social Worker | 332 East 4th St, Jamestown, NY 14701 | 2014-08-22 |
Find all providers in zip 14701 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
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1104485176 | Silvergleid Radiology Services, PC | Clinic/Center | 51 W 95th St, New York, NY 10025-6753 | 2019-06-12 |
1013488972 | Instar Medical PC | Clinic/Center | 14 Georgetown Pl, Smithtown, NY 11787-4912 | 2018-12-17 |
1316457518 | Ab Medical Diagnostics PC | Clinic/Center | 499 Chestnut St Ste 216, Cedarhurst, NY 11516-2242 | 2017-10-03 |
1629504501 | New York Society for The Relief of The Ruptured and Crippled | Clinic/Center | 333 Earle Ovington Blvd Ste 106, Hss Long Island Outpatient Center, Uniondale, NY 11553-3645 | 2017-05-11 |
1669834297 | Primary Care Choice Medical Testing P.c | Clinic/Center | 211 Richmond St, Brooklyn, NY 11208-1945 | 2016-03-23 |
1518322171 | Queens Radiology Reading Services Inc | Clinic/Center | 16020 79th St, Howard Beach, Jamaica, NY 11414-2911 | 2015-12-28 |
1114348844 | Valor Network Inc | Clinic/Center | 7 Hemptor Rd, New City, NY 10956-2508 | 2013-12-24 |
1356782916 | Inwood Medical Diagnostic, P.C. | Clinic/Center | 629 W 185th St Bsmt, New York, NY 10033-3102 | 2013-07-11 |
1982942272 | Comprehensive Mri of New York, P.C. | Clinic/Center | 1165 Wantagh Avenue, Wantagh, NY 11793 | 2013-01-22 |
Find all providers with the same taxonomy |
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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.