WESTERN MASSACHUSETTS MAGNETIC RESONANCE SERVICES LLC (NPI# 1639111958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639111958 |
| Entity Type | Organization |
| Organization Name | WESTERN MASSACHUSETTS MAGNETIC RESONANCE SERVICES LLC |
| Practice Address |
2033 Main St Athol MA 01331-3535 |
| Mailing Address |
18201 Von Karman Ave Ste 600 Irvine CA 92612-1176 |
| Practice Telephone | 9782493511 |
| Mailing Telephone | 8005443215 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | WILLIAM LARKIN (CFO) |
| Authorized Official Telephone | 8005443215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
4380 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | FALLON | 65689 | 01 |
| MA | TUFTS/SECURE HORIZONS | 711456 | 01 |
| MA | HEALTH NEW ENGLAND | 17687 | 01 |
| MA | AETNA | 0113178 | 01 |
| MA | U.S. DEPT OF LABOR OWCP | 102330300 | 01 |
| MA | 1530259 | 05 | |
| MA | BCBS | 017769 | 01 |
| MA | CIGNA / HEALTHSOURCE | 0418278 | 01 |
| MA | CONNECTICARE | 740694 | 01 |
| MA | BOSTON MC HEALTHNET PLAN | 000000006899 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 0008340 | 01 |
| MA | HARVARD PILGRIM HEALTH CA | 603303 | 01 |
| MA | NETWORK HEALTH | 985455 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992156772 | Western Massachusetts Magnetic Resonance Services LLC | Clinic/Center | 444 Montgomery St, Chicopee, MA 01020-1969 | 2016-06-23 |
| Street Address |
2033 MAIN ST |
| City | ATHOL |
| State | MA |
| Zip Code | 01331-3535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982691333 | Mark P. Wu | Surgery | 2033 Main St, Athol, MA 01331-3535 | 2005-09-30 |
| 1568069383 | Ashley Marie Ehlen | Counselor | 2033 Main St, Athol, MA 01331-3535 | 2020-10-05 |
| 1063027175 | Stephanie Dalton | Registered Nurse | 2033 Main St, Athol, MA 01331-3535 | 2020-09-15 |
| 1336791110 | Benjamin M Tretter | Nurse Practitioner | 2033 Main St, Athol, MA 01331-3535 | 2019-07-12 |
| 1952966491 | Athol Memorial Hospital Incorporated | Clinic/Center | 2033 Main St, Athol, MA 01331-3535 | 2019-05-09 |
| 1740597459 | Olha Duda | Family Medicine | 2033 Main St, Athol, MA 01331-3535 | 2010-09-02 |
| 1821304742 | Mady Katherine Caron | Dietitian, Registered | 2033 Main St, Athol, MA 01331-3535 | 2010-08-30 |
| 1245476548 | Elizabeth Conlon | Speech-Language Pathologist | 2033 Main St, Athol Memorial Hospital, Athol, MA 01331-3535 | 2008-12-17 |
| 1023294568 | Susan Jane Barnes | Speech-Language Pathologist | 2033 Main St, Athol, MA 01331 | 2008-01-15 |
| 1023197035 | Peter N Gorlin | Emergency Medicine | 2033 Main St, Athol, MA 01331-3535 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053811786 | Joyce Ann Dean | Physical Therapy Assistant | 821 Daniel Shays Highway, Athol, MA 01331 | 2018-02-19 |
| 1073049441 | Athol Memorial Hospital Incorporated | Clinic/Center | 81 Reservoir Drive, Athol, MA 01331 | 2017-05-04 |
| 1043680317 | Mark Lorion | Counselor | 491 Main St., Athol, MA 01331 | 2015-09-30 |
| 1184969875 | Vicky Mae Blake | Licensed Practical Nurse | 116 Chase Road, Athol, MA 01331 | 2012-12-06 |
| 1487733358 | Dwight K Stowell Jr Dmd | Dentist | 38 Exchange Street, Athol, MA 01331 | 2006-11-03 |
| 1801981493 | Heidi J Foley | Family Medicine | 78 Brickyard Road, Suite 2, Athol, MA 01331 | 2006-10-03 |
| 1437183266 | Jennifer S Mark | Family Medicine | Athol Memorial Hospital, 2033 Main Street, Athol, MA 01331 | 2006-07-10 |
| 1790714079 | Ashley Warner | Family Medicine | 81 Reservoir Dr, Athol, MA 01331 | 2006-06-30 |
| 1790732022 | Corazon Yandoc-maramag | Anesthesiology | 298 R Vine Street, Athol, MA 01331 | 2006-05-30 |
| 1336120047 | Athol Memorial Hospital Incorporated | General Acute Care Hospital | 2033 Main Street, Athol, MA 01331 | 2005-11-09 |
| Find all providers in zip 01331 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
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| 1689623563 | Umass Memorial Mri & Imaging Center, LLC | Clinic/Center | 214 Shrewsbury St, Worcester, MA 01604-4629 | 2006-05-09 |
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| 1487626644 | New England Mobile X-ray, Inc. | Clinic/Center | 3 Cabot Pl, Unit 9, Stoughton, MA 02072-4612 | 2006-02-02 |
| 1902421324 | Pdi Health Ma LLC | Clinic/Center | 1 Bridge St, Newton, MA 02458-1132 | 2020-06-11 |
| 1982165056 | Imaging Consultants Inc | Clinic/Center | 100 South St, Southbridge, MA 01550-4051 | 2019-03-29 |
| 1902367204 | Imaging Consultants Inc | Clinic/Center | 242 Green St, Gardner, MA 01440-1336 | 2019-03-28 |
| 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.