CENTMASS IMAGING, INC. (NPI# 1952413494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952413494 |
| Entity Type | Organization |
| Organization Name | CENTMASS IMAGING, INC. |
| Practice Address |
165 Mill St Leominster MA 01453-3289 |
| Mailing Address |
2527 Cranberry Hwy Wareham MA 02571-1046 |
| Practice Telephone | 9787079729 |
| Practice Fax Number | 5083069700 |
| Mailing Telephone | 8008415200 |
| Mailing Fax Number | 5082731241 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | DR. RODRICK A. WILLIAMS (PRESIDENT) |
| Authorized Official Telephone | 9787079729 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110072094B | 05 |
| Street Address |
165 MILL ST |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453-3289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033190673 | Kevin J Moran | Podiatrist | 165 Mill St, Leominster, MA 01453-3242 | 2005-11-10 |
| 1639628753 | Mary Poulias Mitchell | Nurse Practitioner | 165 Mill St, Leominster, MA 01453-3289 | 2016-09-30 |
| 1265803373 | Elizabeth M. Glavin | Nurse Practitioner | 165 Mill St, Leominster, MA 01453-3289 | 2015-10-15 |
| 1265818413 | Jordan E Siegmann | Physical Therapist | 165 Mill St, Leominster, MA 01453-3289 | 2015-08-10 |
| 1255680617 | James A. Sorensen | Physical Therapist | 165 Mill St, Leominster, MA 01453-3289 | 2012-08-31 |
| 1619247855 | Lauren O. Katz | Nurse Practitioner | 165 Mill St, Leominster, MA 01453-3289 | 2012-01-05 |
| 1528076445 | Martha J Robillard | Occupational Therapist | 165 Mill St, Leominster, MA 01453 | 2006-08-04 |
| 1780613935 | Jeffrey S Gorodetsky | Legal Medicine | 165 Mill St, Leominster, MA 01453-3289 | 2006-07-01 |
| 1932137692 | Janice L Kennedy | Pediatrics | 165 Mill St, Leominster, MA 01453-3242 | 2006-06-29 |
| 1821038738 | Daniel A Veno | Family Medicine | 165 Mill St, Leominster, MA 01453-3289 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| 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 |
|---|---|---|---|---|
| 1679512404 | Michael G Popik | Radiology | 60 Hospital Rd, Radiology Department, Leominster, MA 01453-2205 | 2006-06-06 |
| 1427096213 | Rodrick A Williams | Radiology | 87 N Main St, Leominster, MA 01453-5507 | 2006-06-03 |
| 1457341794 | Daniel Berman | Radiology | 60 Hospital Rd, Leominster Hospital, Leominster, MA 01453-2205 | 2005-10-27 |
| 1558351494 | Guillermo Alfredo Walters | Radiology | 60 Hospital Rd, Leominster, MA 01453-2205 | 2005-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604570 | Yarab Mubarak Habib Al Bulushi | Radiology | 330 Brookline Ave Dept of Radiology, Boston, MA 02215-5400 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1417507740 | Daniel Andres Vargas Zapata | Radiology | 330 Brookline Ave # Es-215, Boston, MA 02215-5491 | 2019-09-18 |
| 1386129468 | Keri Susan Bouthiller | Radiology | 9 Stevens St, Stoneham, MA 02180-1806 | 2018-09-25 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1790270239 | Rahul Gujrathi | Radiology | 450 Brookline Ave Dana-farber Cancer Institute, Department of Imaging Dl-198, Boston, MA 02215 | 2018-06-27 |
| 1083104434 | Edgar Leonardo Martinez-salazar | Radiology | 20 Michigan Ave, Somerville, MA 02145-2228 | 2018-05-11 |
| 1548758790 | Hudson Valley Radiologists, PC | Radiology | 18 West Rd, Great Barrington, MA 01230-1947 | 2018-04-24 |
| 1700381282 | Casey Keith Bishop | Radiology | 820 Harrison Ave Dept Of, Boston, MA 02118-2905 | 2018-03-27 |
| 1922517713 | Arwa Alzaghal | Radiology | Department of Radiology, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115 | 2017-09-25 |
| Find all providers with the same taxonomy | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
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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.