SHIELDS PET-CT AT EMERSON HOSPITAL LLC (NPI# 1760081566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760081566 |
| Entity Type | Organization |
| Organization Name | SHIELDS PET-CT AT EMERSON HOSPITAL LLC |
| Practice Address |
54 Baker Avenue Ext Ste 104 Concord MA 01742-2137 |
| Mailing Address |
55 Christy Dr Brockton MA 02301-1813 |
| Practice Telephone | 8002584674 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | JEFFREY RONNER (CFO) |
| Authorized Official Telephone | 8002584674 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Street Address |
54 BAKER AVENUE EXT STE 104 |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437429305 | Northstar Imaging | Clinic/Center | 66 Dwight Rd, Suite 4, Longmeadow, MA 01106-1889 | 2012-01-09 |
| 1720313869 | M&tps Inc. | Clinic/Center | 5 Stub Toe Ln, Milford, MA 01757-1054 | 2009-10-07 |
| 1841447927 | Steward Pet Imaging, LLC | Clinic/Center | 735 Cambridge St, Brighton, MA 02135-2926 | 2008-08-20 |
| 1689623563 | Umass Memorial Mri & Imaging Center, LLC | Clinic/Center | 214 Shrewsbury St, Worcester, MA 01604-4629 | 2006-05-09 |
| 1558310474 | Baystate Mri & Imaging Center, LLC | Clinic/Center | 80 Wason Ave., Springfield, MA 01107-1119 | 2006-05-08 |
| 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 |
| 1316463813 | Shields Petct At Berkshire Medical Center LLC | Clinic/Center | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2017-08-16 |
| 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.