BORG IMAGING GROUP LLP (NPI# 1982728457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982728457 |
| Entity Type | Organization |
| Organization Name | BORG IMAGING GROUP LLP |
| Practice Address |
200 White Spruce Blvd Rochester NY 14623-1605 |
| Mailing Address |
125 Lattimore Rd Rochester NY 14620-4159 |
| Practice Telephone | 5852710401 |
| Practice Fax Number | 5852712051 |
| Mailing Telephone | 5852710401 |
| Mailing Fax Number | 5852712051 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DANIEL B WOPPERER (MANAGING PARTNER) |
| Authorized Official Telephone | 5852710401 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00848715 | 05 | |
| NY | BLUE CHOICE | P0180349590 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871617555 | Borg Imaging Group LLP | Radiology | 800 Ayrault Rd, Fairport, NY 14450-8941 | 2007-03-19 |
| 1699899393 | Borg Imaging Group LLP | Radiology | 1815 Clinton Ave S, Bldg 300 Suite 320, Rochester, NY 14618-5720 | 2007-03-19 |
| 1780708479 | Borg Imaging Group LLP | Radiology | 400 Red Creek Dr Ste 140, Rochester, NY 14623-4273 | 2007-03-19 |
| 1083738793 | Borg Imaging Group LLP | Radiology | 1401 Stone Road, Rochester, NY 14615 | 2007-03-19 |
| 1780708131 | Borg Imaging Group LLP | Radiology | 125 Lattimore Rd, Rochester, NY 14620-4159 | 2007-03-19 |
| 1528001385 | Borg Imaging Group LLP | Specialist | 125 Lattimore Rd, Rochester, NY 14620-4159 | 2006-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BORG IMAGING GROUP LLP | 125 Lattimore Road, Rocheste, Ny 14620 |
| Street Address |
200 WHITE SPRUCE BLVD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134103054 | Michael C Stoner | Surgery | 200 White Spruce Blvd, Rochester, NY 14623-1605 | 2005-12-05 |
| 1245581263 | Christina Jean D'agostino | Nurse Practitioner | 200 White Spruce Blvd, Suite 220, Rochester, NY 14623 | 2012-10-01 |
| 1770831349 | Elizabeth Anne Wight-regna | Nurse Practitioner | 200 White Spruce Blvd, Suite 220, Rochester, NY 14623-1605 | 2012-08-29 |
| 1669645792 | Adam Joseph Doyle | Surgery | 200 White Spruce Blvd, Suite 220, Rochester, NY 14623-1605 | 2008-04-09 |
| 1386822609 | Seth A Borg | Radiology | 200 White Spruce Blvd, Rochester, NY 14623-1605 | 2008-02-08 |
| 1497973796 | Jill M. Nikas | Dentist | 200 White Spruce Blvd, Rochester, NY 14623-1605 | 2007-04-23 |
| 1255482766 | Sandra Jane Eller | Psychologist | 200 White Spruce Blvd, Rochester, NY 14623-1605 | 2007-01-13 |
| 1932216603 | Kathryn A Kelleher | Nurse Practitioner | 200 White Spruce Blvd, Suite 220, Rochester, NY 14623-1605 | 2006-08-25 |
| 1790891570 | Mark S Levine | Obstetrics & Gynecology | 200 White Spruce Blvd, Rochester, NY 14623-1605 | 2006-08-22 |
| 1801805585 | Benjamin Ray Christensen | Obstetrics & Gynecology | 200 White Spruce Blvd, Rochester, NY 14623-1605 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| 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 |
|---|---|---|---|---|
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1235687088 | Jeffery E. Illman | Radiology | 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 | 2016-09-21 |
| 1518209675 | Peter Alan Dvorak | Radiology | 36 Edgemont Rd, Rochester, NY 14620-4520 | 2013-03-26 |
| 1144519992 | Daniel C Oppenheimer | Radiology | 601 Elmwood Ave Box 648, Rochester, NY 14642-1016 | 2011-04-01 |
| 1992094072 | Joel P Thompson | Radiology | 995 Senator Keating Blvd Ste 100, Rochester, NY 14618-2777 | 2011-03-29 |
| 1871793570 | Ian Jermaine Wilson | Radiology | 1892 Winton Rd S Ste 190, Rochester, NY 14618-3996 | 2007-07-20 |
| 1487860482 | Nadia Fatima Yusaf | Radiology | 2623 South Clinton Ave, Rochester, NY 14618-2623 | 2007-05-15 |
| 1356413470 | Man-mei Nadine Su | Radiology | 1776 11th Ave Ne, Rochester, MN 55906-4215 | 2006-11-14 |
| 1639184377 | Arun Basu | Radiology | 601 Elmwood Ave # 648, Rochester, NY 14642-0001 | 2006-07-30 |
| 1811901135 | Devang Butani | Radiology | 601 Elmwood Ave / Univ. of Roch. Med Ctr, Imaging Sciences, Box 648, Rochester, NY 14642-1698 | 2006-07-29 |
| Find all providers in ROCHESTER | ||||
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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.