CHAUTAUQUA RADIOLOGY, PC (NPI# 1861611956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861611956 |
Entity Type | Organization |
Organization Name | CHAUTAUQUA RADIOLOGY, PC |
Practice Address |
529 Central Ave Dunkirk NY 14048-2514 |
Mailing Address |
Po Box 69 Fredonia NY 14063-0069 |
Practice Telephone | 7166728040 |
Practice Fax Number | 7166728060 |
Mailing Telephone | 7166728040 |
Mailing Fax Number | 7166728060 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2009-08-27 |
Authorized Official Name | DR. JON A MUNTZ (PRESIDENT) |
Authorized Official Telephone | 7163636342 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
185798 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01246304 | 05 | |
NY | 01943026 | 05 | |
BLUE CROSS | 000511785003 | 01 | |
RR MEDICARE | CM1926 | 01 | |
INDEPENDENT HEALTH | 5609140 | 01 | |
UNIVERA | 00026704302 | 01 |
Street Address |
529 CENTRAL AVE |
City | DUNKIRK |
State | NY |
Zip Code | 14048-2514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215919857 | Gregory Charles Difrancesco | Emergency Medicine | 529 Central Ave, Brooks Memorial Hospital, Dunkirk, NY 14048-2514 | 2005-11-18 |
1710514237 | Daniel Heusinger | Physician Assistant | 529 Central Ave, Dunkirk, NY 14048-2514 | 2020-03-25 |
1669012597 | Brooks-tlc Hospital System, Inc. | Hospitalist | 529 Central Ave, Dunkirk, NY 14048-2514 | 2020-01-08 |
1215576558 | Micah Vincent Rutland | Nurse Practitioner | 529 Central Ave, Dunkirk, NY 14048-2514 | 2020-01-03 |
1679119200 | Heather Beaman | Physical Therapist | 529 Central Ave, Dunkirk, NY 14048-2514 | 2019-11-19 |
1508423914 | Tammy Kiszak | Physical Therapist | 529 Central Ave, Dunkirk, NY 14048-2514 | 2019-05-21 |
1891266102 | Corey Costa | Physician Assistant | 529 Central Ave, Dunkirk, NY 14048-2514 | 2018-12-13 |
1770097438 | Sarah Kimpton | Nutritionist | 529 Central Ave, Dunkirk, NY 14048-2514 | 2017-11-16 |
1578855532 | Alexis Anne Grates Sciarrino | Emergency Medicine | 529 Central Ave, Dunkirk, NY 14048 | 2011-05-10 |
1578705505 | Marlene Paula Hassenfratz | Physical Medicine & Rehabilitation | 529 Central Ave, Dunkirk, NY 14048-2514 | 2009-04-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104391986 | Brittany Elizabeth Collins | Registered Nurse | 539 Central Ave, Dunkirk, NY 14048 | 2018-10-09 |
1548712201 | Respiratory Services of Western New York, Inc. | Durable Medical Equipment & Medical Supplies | 1170 Central Ave. Suite-9, Dunkirk, NY 14048 | 2016-10-28 |
1003293291 | Michael Christopher Guilding Pita | Internal Medicine | Chautauqua Medical Services, 504 Central Ave, Dunkirk, NY 14048 | 2015-04-27 |
1528459161 | Dunkirk Operating, LLC | Skilled Nursing Facility | 10836 Temple Road, Dunkirk, NY 14048 | 2015-02-17 |
1699044107 | Melony L. Feser | Registered Nurse | 742 Lamphere St, Dunkirk, NY 14048 | 2011-12-29 |
1326323148 | Linda Elaine Smegner | Registered Nurse | 117 Brigham Rd., Dunkirk, NY 14048 | 2011-10-12 |
1871877076 | Donna Marie Millson | Social Worker | 752 Central Ave., Dunkirk School #4, Dunkirk, NY 14048 | 2011-10-06 |
1407141161 | Marie Pauline Schrantz Damico | Social Worker | 742 Lamphere St., Dunkirk School #3, Dunkirk, NY 14048 | 2011-06-10 |
1710285374 | Deborah Ann Wisniewaki | Social Worker | 345 Lakeshore Drive East, Dunkirk City School District #7, Dunkirk, NY 14048 | 2011-03-07 |
1356649248 | Charmaine Dolores Moreland | Social Worker | 75 West Sixth Street, Dunkirk, NY 14048 | 2011-03-02 |
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Taxonomy Code | 2085D0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Neuroimaging |
A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. |
Notes: Source: American Academy of Neurology, www.aan.com [1/1/2007: new] |
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1083911937 | Radiology of Westchester PC | Radiology | 933 Saw Mill River Rd, Ardsley, NY 10502-1106 | 2011-02-11 |
1144547233 | Richard Jiao | Radiology | 30 Columbia St, Poughkeepsie, NY 12601-3906 | 2010-04-28 |
1386960136 | Brett J Huston | Radiology | 435 E 70th St, Apt. 33j, New York, NY 10021-5342 | 2010-04-18 |
1346485091 | Daniel Lawrence Klein | Radiology | 990 Stewart Ave, Suite 400, Garden City, NY 11530-4822 | 2008-12-10 |
1255508073 | Slr Diagnostic Radiology, P.C. | Radiology | 3201 Kings Hwy, Dept of Radiology, Brooklyn, NY 11234-2625 | 2008-05-12 |
1205013646 | Weill Cornell Imaging At Nyp | Radiology | 520 E 70th St, Jo, New York, NY 10021-9800 | 2008-01-29 |
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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.