STEWARD PET IMAGING LLC (NPI# 1841450004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841450004 |
| Entity Type | Organization |
| Organization Name | STEWARD PET IMAGING LLC |
| Other Organization Name | STEWARD PET IMAGING LLC AT COOLEY DICKINSON HOSPITAL |
| Practice Address |
30 Locust Street Cooley Dickinson Hospital Northampton MA 01061 |
| Mailing Address |
800 Washington St Norwood MA 02062-3487 |
| Practice Telephone | 8778778455 |
| Practice Fax Number | 8669270079 |
| Mailing Telephone | 8778778455 |
| Mailing Fax Number | 8669270079 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2011-12-14 |
| Authorized Official Name | MR. ROBERT E GUYON JR. (COO) |
| Authorized Official Telephone | 6177895047 |
| Is Organization Subpart | Y |
| Parent Organization Name | STEWARD PET IMAGING LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
4NNJ | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110073236I | 05 |
| Other Name | Type Code |
|---|---|
| Steward PET Imaging LLC at Cooley Dickinson Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821310368 | Steward Pet Imaging LLC | Clinic/Center | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2010-02-25 |
| 1164682282 | Steward Pet Imaging LLC | Clinic/Center | 115 W Silver St, Noble Hospital, Westfield, MA 01085-3628 | 2008-06-12 |
| Street Address |
30 LOCUST STREET COOLEY DICKINSON HOSPITAL |
| City | NORTHAMPTON |
| State | MA |
| Zip Code | 01061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003874769 | Enoch O Darko | Emergency Medicine | 30 Locust Street, Cooley Dickinson Hospital, Northampton, MA 01061 | 2006-05-03 |
| 1063828515 | Anita Gabriela Lekarczyk | Physician Assistant | 30 Locust Street, Cooley Dickinson Hospital, Northampton, MA 01060 | 2014-07-04 |
| 1205141314 | Andrew R. King, M.d., LLC | Anesthesiology | 30 Locust Street, Northampton, MA 01060-5001 | 2010-08-12 |
| 1144468315 | Diane Marie Walker | Dietitian, Registered | 30 Locust Street, Cooley Dickinson Hospital, Northampton, MA 01060-5001 | 2009-01-27 |
| 1174705974 | Dwight Kelley | Pharmacist | 30 Locust Street, Cooley Dickinson Hospital, Northampton, MA 01061-5001 | 2007-12-04 |
| 1649390865 | Sara Lacasse | Internal Medicine | 30 Locust Street, Northampton, MA 01060 | 2007-03-30 |
| 1760537161 | Katherine D. Lee, Md, PC | Anesthesiology | 30 Locust Street, Att: Operating Room, Northampton, MA 01060 | 2007-01-24 |
| 1902810096 | Julia Gates | Radiology | 30 Locust Street, Northampton, MA 01061-5001 | 2006-07-27 |
| 1427072479 | Mark Novotny | Internal Medicine | 30 Locust Street, Northampton, MA 01061 | 2006-07-26 |
| 1285670844 | Laura L Scoville | Internal Medicine | 30 Locust Street, Northampton, MA 01060 | 2006-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952546079 | Jay Steven Levy | Social Worker | 1 Prince Street, Northampton, MA 01061 | 2008-12-03 |
| 1730396516 | Judith Brock | Advanced Practice Midwife | 30 Locust St., Cooley Dickinson Center for Midwifery Care, Northampton, MA 01061 | 2007-05-17 |
| 1154426781 | Sander Joshua Fasten | Dentist | 12 Center Street, Northampton, MA 01061 | 2006-09-14 |
| 1770816506 | Total Wellness Centers, LLC | Internal Medicine | 244 Main Street Annex, Northampton, MA 01061-0032 | 2009-09-11 |
| 1518057579 | John Stewart Swanson | Psychiatry & Neurology | 1 Prince Street, Massachusetts Department of Mental Health, Northampton, MA 01061-0389 | 2006-10-13 |
| 1871650184 | Anna Marie Loven | Dietitian, Registered | 30 Locust St., Northampton, MA 01061-5001 | 2007-01-03 |
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932554656 | Shields Pet/ct At Cooley Dickinson Hospital, LLC | Clinic/Center | 30 Locust St, Northampton, MA 01060-2052 | 2016-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081566 | Shields Pet-ct At Emerson Hospital LLC | Clinic/Center | 54 Baker Avenue Ext Ste 104, Concord, MA 01742-2137 | 2020-10-22 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NORTHAMPTON |
| Zip Code | 01061 |
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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.