NORTHAMPTON IMAGING CENTER (NPI# 1518928506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518928506 |
| Entity Type | Organization |
| Organization Name | NORTHAMPTON IMAGING CENTER |
| Practice Address |
602 E 21st St Suite 401 Northampton PA 18067-1259 |
| Mailing Address |
421 W Chew St Physician Accounts Allentown PA 18102-3406 |
| Practice Telephone | 6102626622 |
| Practice Fax Number | 6102626432 |
| Mailing Telephone | 6106633441 |
| Mailing Fax Number | 6106633170 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2010-08-17 |
| Authorized Official Name | SPLAIN J SPLAIN (PARTNER) |
| Authorized Official Telephone | 6106633441 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0017514500004 | 05 | |
| PA | CBC GROUP NUMBER | 03161600 | 01 |
| IBC | 0040634000 | 01 | |
| PA | HIGHMARK BS GROUP NUMBER | 475764 | 01 |
| GATEWAY HEALTH PLAN | 1520160 | 01 | |
| RR MEDICARE # | CC7763 | 01 | |
| AMERIHEALTH MERCY | 20021128 | 01 |
| Street Address |
602 E 21ST ST SUITE 401 |
| City | NORTHAMPTON |
| State | PA |
| Zip Code | 18067-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164412169 | Angeles Gonzalez-prado | Internal Medicine | 602 E 21st St, Suite 400, Northampton, PA 18067-1259 | 2005-10-21 |
| 1811149875 | Amerfil June Gimena | Physical Therapist | 602 E 21st St, Northampton, PA 18067-1259 | 2008-10-21 |
| 1164697041 | Uzma Imran | Family Medicine | 602 E 21st St, Northampton, PA 18067-1259 | 2008-04-23 |
| 1699891838 | Denine Ann Deily | Physical Therapy Assistant | 602 E 21st St, Suite B, Northampton, PA 18067-1259 | 2007-03-21 |
| 1255460416 | Maria E Murray | Physical Therapist | 602 E 21st St, Suite B, Northampton, PA 18067-1259 | 2007-03-05 |
| 1134258536 | Athena Medina Joseph | Physical Therapy Assistant | 602 E 21st St, Northampton, PA 18067-1259 | 2007-03-04 |
| 1811025661 | Natalie A Gulich | Occupational Therapist | 602 E 21st St, Northampton, PA 18067-1259 | 2007-03-02 |
| 1386605392 | Sacred Heart Healthcare System | Internal Medicine | 602 E 21st St, Suite 400, Northampton, PA 18067-1259 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666829 | St. Luke's Physician Group, Inc. | Family Medicine | 602b East 21st St, Suite 400, Northampton, PA 18067 | 2018-04-13 |
| 1720444722 | Josiely Garcia | Behavioral Analyst | 1325 Granger Rd, Northampton, PA 18067 | 2016-01-06 |
| 1801153143 | Lehigh Valley Dental Solutions | Dentist | 3258 Cherryville Rd., Northampton, PA 18067 | 2012-04-11 |
| 1578715694 | Dawn Marie Newhard-vilanova | Occupational Therapist | 445 Indian Trail Rd., Northampton, PA 18067 | 2008-10-21 |
| 1326205170 | Pennsylvania Assessment Consultants for Co Occurring Disorders LLC | Counselor | 2030 Center St. Plaza, Suite 104, Northampton, Pa 18067, PA 18067 | 2008-05-20 |
| 1972706091 | Wassim Abosamra | Family Medicine | 602 East 21st Street, Northampton, PA 18067 | 2007-06-06 |
| 1568683167 | Craig Rice | Physical Therapist | 818 Ward Drive, Northampton, PA 18067 | 2007-05-01 |
| 1114054459 | Sarah F Hilbert | Physician Assistant | 602b East 21st Street, Suite 400, Northampton, PA 18067 | 2007-02-27 |
| 1669583159 | Daniel Joseph Milavec | Dentist | 1855 Washington Ave, Northampton, PA 18067 | 2006-08-31 |
| 1881653657 | Junaid Sultan | Internal Medicine | 602 B East 21st Street, Suite 400, Northampton, PA 18067 | 2006-03-21 |
| Find all providers in zip 18067 | ||||
| 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 |
|---|---|---|---|---|
| 1952403081 | Renna B Whittredge | Radiology | 60 Crescent St, Northampton, MA 01060-2115 | 2006-09-01 |
| 1760693352 | Leslie Trien | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2007-05-24 |
| 1902810096 | Julia Gates | Radiology | 30 Locust Street, Northampton, MA 01061-5001 | 2006-07-27 |
| 1194761692 | Northampton Radiologic Associates, Inc. | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2006-06-22 |
| 1407893738 | Andrew Michael Ciccarelli | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2006-06-02 |
| 1568424026 | Timothy C. Tash | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2006-04-03 |
| 1669433439 | Joseph R. Polino Jr. | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2006-03-31 |
| 1295796068 | David L. Rifken | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2006-03-31 |
| 1780645598 | Paul H. Kolbjornsen | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2006-03-31 |
| 1932160702 | James M. Donnelly | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2006-03-31 |
| Find all providers in NORTHAMPTON | ||||
| City | NORTHAMPTON |
| Zip Code | 18067 |
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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.