NORTHWEST DIAGNOSTIC IMAGING, INC (NPI# 1821079336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821079336 |
Entity Type | Organization |
Organization Name | NORTHWEST DIAGNOSTIC IMAGING, INC |
Other Organization Name | WOODSTOCK DIAGNOSTIC IMAGING, LLC |
Practice Address |
300 Parkbrooke Pl Suite 170 Woodstock GA 30189-7209 |
Mailing Address |
Po Box 932391 Atlanta GA 31193-2391 |
Practice Telephone | 6784942345 |
Mailing Telephone | 6783935600 |
Mailing Fax Number | 7703009018 |
Enumeration Date | 2005-11-10 |
Last Update Date | 2010-05-28 |
Authorized Official Name | MR. DANIEL J SCHAEFER (COO) |
Authorized Official Telephone | 7703000101 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | US DEPT OF LABOR | 226870800 | 01 |
GA | RAILROAD MEDICARE | CH7800 | 01 |
GA | RAILROAD MEDICARE | CA0798 | 01 |
GA | RAILROAD MEDICARE | DA0357 | 01 |
Other Name | Type Code |
---|---|
Woodstock Diagnostic Imaging, LLC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033150503 | Northwest Diagnostic Imaging, Inc | Radiology | 6630 Mcginnis Ferry Rd, Johns Creek, GA 30097-1542 | 2006-06-08 |
1194706606 | Northwest Diagnostic Imaging, Inc | Radiology | 1608 Tree Ln, Building D Suite 400, Snellville, GA 30078-2399 | 2005-11-10 |
1457332967 | Northwest Diagnostic Imaging, Inc | Specialist | 2416 Westgate Dr, Albany, GA 31707-8204 | 2005-11-10 |
1003897513 | Northwest Diagnostic Imaging, Inc | Radiology | 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 | 2005-11-10 |
1225019730 | Northwest Diagnostic Imaging, Inc | Radiology | 100 Mountain View Dr, Suite 200, Cumming, GA 30040-2434 | 2005-11-10 |
1023099538 | Northwest Diagnostic Imaging, Inc | Radiology | 600 W Peachtree St Nw, Suit 140, Atlanta, GA 30308-3607 | 2005-11-10 |
1851372361 | Northwest Diagnostic Imaging, Inc | Radiology | 638 441 Historic Hwy N, Suite D, Demorest, GA 30535-4566 | 2005-11-10 |
1326029828 | Northwest Diagnostic Imaging, Inc | Radiology | 3200 Cobb Galleria Pkwy, Suite 120, Atlanta, GA 30339-5927 | 2005-11-10 |
1760463509 | Northwest Diagnostic Imaging, Inc | Radiology | 425 Broad St Se, Gainesville, GA 30501-3712 | 2005-11-09 |
1508847328 | Northwest Diagnostic Imaging, Inc | Radiology | 2287 Salem Rd Se, Conyers, GA 30013-2025 | 2005-11-09 |
Street Address |
300 PARKBROOKE PL SUITE 170 |
City | WOODSTOCK |
State | GA |
Zip Code | 30189-7209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104059138 | Open Mri of Georgia, Inc | Radiology | 300 Parkbrooke Pl, Suite 170, Woodstock, GA 30189-7209 | 2009-08-25 |
1447420971 | Richard Arasi | Specialist | 300 Parkbrooke Pl, Suite 360, Woodstock, GA 30189-7209 | 2008-03-12 |
1063422251 | Woodstock Dermatology, PC | Specialist | 300 Parkbrooke Pl, Suite 360, Woodstock, GA 30189-7209 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
Find all providers in zip 30189 |
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 |
---|---|---|---|---|
1598830515 | Arthur Robert Eschleman | Radiology | 436 Mill Stream Way, Woodstock, GA 30188-1934 | 2006-11-22 |
1750361697 | Nayyer U Islam | Radiology | 2230 Towne Lake Parkway, Bldg, No. 900, Suite 250 & 150, Woodstock, GA 30189-5540 | 2006-01-18 |
1730188194 | Woodstock Imaging Associates, Inc. | Radiology | 3701 Doty Road, Attn: Memorial Medical Center/radiology Dept., Woodstock, IL 60098 | 2005-07-19 |
1225569437 | New Ways Pain Management | Radiology | 2230 Towne Lake Pkwy, Bldg, No. 900, Suite 250 & 150, Woodstock, GA 30189-5540 | 2017-03-21 |
1104059138 | Open Mri of Georgia, Inc | Radiology | 300 Parkbrooke Pl, Suite 170, Woodstock, GA 30189-7209 | 2009-08-25 |
1427046028 | Joan Audrey Vonarras | Radiology | 759 S Main St, Woodstock, VA 22664-1127 | 2005-10-10 |
1861493652 | Mark S. Schiffer | Radiology | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2005-08-03 |
1679574461 | Nancy R. Sagona | Radiology | 3701 Doty Rd, Memorial Medical Center / Radiology Depar, Woodstock, IL 60098-7509 | 2005-08-03 |
1295736080 | Donald R. Kennard | Radiology | 3701 Doty Road, Memorial Medical Center / Radiology Department, Woodstock, IL 60098 | 2005-08-03 |
1689675357 | Anoop H. Karna | Radiology | 3701 Doty Rd, Memorial Medical Center / Radiology Depar, Woodstock, IL 60098-7509 | 2005-08-03 |
Find all providers in WOODSTOCK |
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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.