Geoffrey Leonard Manton
DIAGNOSTIC IMAGING ASSOCIATES LLC


Address: 1389 W Main St, Waterbury, CT 06708-3115
Phone: 2035741311

Geoffrey Leonard Manton (NPI# 1538249065, PAC ID# 7315978277) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1538249065
PAC ID by PECOS 7315978277
Professional Enrollment ID I20060404000465
Full Name Geoffrey Leonard Manton
Organization Legal Name DIAGNOSTIC IMAGING ASSOCIATES LLC
Address 1389 W Main St
Waterbury
CT 06708-3115
Phone Number 2035741311
Gender M
Credential MD
Medical School JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year 2000
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 0143127241
Number of Group Practice Members 16
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070016 SAINT MARYS HOSPITAL

Other Locations

Address Phone Organization
166 Waterbury Rd, Prospect, CT 06712-1200 2037587700 PROSPECT DIAGNOSTIC IMAGING
385 Main St, Southbury, CT 06488-1805 2032647999 DIAGNOSTIC IMAGING OF SOUTHBURY
1389 W Main St, Waterbury, CT 06708-3115 2035741311 DIAGNOSTIC IMAGING ASSOCIATES LLC
1389 W Main St, Waterbury, CT 06708-3104 20326479991130 NAUGATUCK VALLEY MRI LLC
56 Franklin St, Waterbury, CT 06706-1253 20326479991130 NAUGATUCK VALLEY RADIOLOGICAL ASSOCIATES PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 50%
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 50%
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 50%
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 50%

Organization Information

Organization Legal Name DIAGNOSTIC IMAGING ASSOCIATES LLC
Physicians 15

Physicians with the same organization

Name Specialty Organization Address
George Gavern Diagnostic Radiology Diagnostic Imaging Associates LLC 1389 W Main St, Waterbury, CT 06708-3115
Michael K Malin Diagnostic Radiology Diagnostic Imaging Associates LLC 1389 W Main St, Waterbury, CT 06708-3115
Laura Kaplan Diagnostic Radiology Diagnostic Imaging Associates LLC 1389 W Main St, Waterbury, CT 06708-3115
Gregory Gersten Diagnostic Radiology Diagnostic Imaging Associates LLC 1389 W Main St, Waterbury, CT 06708-3115
Bipinchandra Jagjivan Diagnostic Radiology Diagnostic Imaging Associates LLC 1389 W Main St, Waterbury, CT 06708-3115
Paolo Olcese Diagnostic Radiology Diagnostic Imaging Associates LLC 1389 W Main St, Waterbury, CT 06708-3115
Carolyn Ajemian Diagnostic Radiology Diagnostic Imaging Associates LLC 1389 W Main St, Waterbury, CT 06708-3115
Zaixiang S Zhang Diagnostic Radiology Diagnostic Imaging Associates LLC 1389 W Main St, Waterbury, CT 06708-3115
Yeo Yang Shin Diagnostic Radiology Diagnostic Imaging Associates LLC 1389 W Main St, Waterbury, CT 06708-3115
Mark Johnson Diagnostic Radiology Diagnostic Imaging Associates LLC 1389 W Main St, Waterbury, CT 06708-3115

Office Location

Street Address 1389 W MAIN ST
City WATERBURY
State CT
Zip 06708-3115

Physicians in the same location

Name Specialty Organization Address
Charles T Arena Podiatry 1389 W Main St, Suite 222, Waterbury, CT 06708-3104
Eduardo G Mari Gastroenterology 1389 W Main St, Suite 223, Waterbury, CT 06708-3104
George Gavern Diagnostic Radiology Diagnostic Imaging Associates LLC 1389 W Main St, Waterbury, CT 06708-3115
Jaye C Howes Nurse Practitioner Western Connecticut Medical Group Inc 1389 W Main St, Suite 106, Waterbury, CT 06708-3115
Michael K Malin Diagnostic Radiology Diagnostic Imaging Associates LLC 1389 W Main St, Waterbury, CT 06708-3115
Laura Kaplan Diagnostic Radiology Diagnostic Imaging Associates LLC 1389 W Main St, Waterbury, CT 06708-3115
Christopher Randolph Pediatric Medicine Center for Allergy Asthma and Immunology LLC 1389 W Main St, Suite 205, Waterbury, CT 06708-3115
Matthew Balanda Nurse Practitioner Center for Allergy Asthma and Immunology LLC 1389 W Main St, Suite 205, Waterbury, CT 06708-3115
Gregory Gersten Diagnostic Radiology Diagnostic Imaging Associates LLC 1389 W Main St, Waterbury, CT 06708-3115
John Hillgen Iv Oral Surgery Greater Waterbury Oral and Maxillofacial Surgeons LLC 1389 W Main St, Suite 320, Waterbury, CT 06708-3104
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Name Specialty Organization Address
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Trudy Tamara Pearson Clinical Social Worker Sunrise Psychological Services LLC 177 Whitewood Rd, Waterbury, CT 06708-1545
Brittney R Jackson Clinical Social Worker Step Up Care PC LLC 177 Whitewood Rd, Waterbury, CT 06708-1545
Sarah J Jacob Clinical Social Worker Sunrise Psychological Services LLC 177 Whitewood Rd, Waterbury, CT 06708-1545
Christine Leah Shapter Psychiatry Sunrise Psychological Services LLC 177 Whitewood Rd, Waterbury, CT 06708-1545
Kimberly A Gagnon Clinical Social Worker Sunrise Psychological Services LLC 177 Whitewood Rd, Waterbury, CT 06708-1545
Jaclyn M Sylvia Physician Assistant Westwood Ear, Nose and Throat, P.C. 60 Westwood Ave, Waterbury, CT 06708-2460
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Competitor

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City WATERBURY
Zip Code 06708
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty WATERBURY + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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