NORTHWEST DIAGNOSTIC IMAGING, INC (NPI# 1003897513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003897513 |
Entity Type | Organization |
Organization Name | NORTHWEST DIAGNOSTIC IMAGING, INC |
Other Organization Name | IMAGING CENTER OF CENTRAL GEORGIA |
Practice Address |
2706 Watson Blvd Suite D Warner Robins GA 31093-2997 |
Mailing Address |
Po Box 932391 Atlanta GA 31193-2391 |
Practice Telephone | 6789536033 |
Practice Fax Number | 4789536047 |
Mailing Telephone | 6783935600 |
Mailing Fax Number | 7703009018 |
Enumeration Date | 2005-11-10 |
Last Update Date | 2010-03-08 |
Authorized Official Name | MR. DANIEL J SCHAEFER (COO) |
Authorized Official Telephone | 7703000101 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | RAILROAD MEDICARE | DA0357 | 01 |
GA | MEDICARE IDTF | 202G476217 | 01 |
GA | US DEPARTMENT OF LABOR | 226870803 | 01 |
GA | RAILROAD MEDICAIRE | CA0798 | 01 |
GA | RAILROAD MEDICARE | CH7801 | 01 |
Other Name | Type Code |
---|---|
Imaging Center of Central Georgia | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033150503 | Northwest Diagnostic Imaging, Inc | Radiology | 6630 Mcginnis Ferry Rd, Johns Creek, GA 30097-1542 | 2006-06-08 |
1194706606 | Northwest Diagnostic Imaging, Inc | Radiology | 1608 Tree Ln, Building D Suite 400, Snellville, GA 30078-2399 | 2005-11-10 |
1457332967 | Northwest Diagnostic Imaging, Inc | Specialist | 2416 Westgate Dr, Albany, GA 31707-8204 | 2005-11-10 |
1821079336 | Northwest Diagnostic Imaging, Inc | Radiology | 300 Parkbrooke Pl, Suite 170, Woodstock, GA 30189-7209 | 2005-11-10 |
1225019730 | Northwest Diagnostic Imaging, Inc | Radiology | 100 Mountain View Dr, Suite 200, Cumming, GA 30040-2434 | 2005-11-10 |
1023099538 | Northwest Diagnostic Imaging, Inc | Radiology | 600 W Peachtree St Nw, Suit 140, Atlanta, GA 30308-3607 | 2005-11-10 |
1851372361 | Northwest Diagnostic Imaging, Inc | Radiology | 638 441 Historic Hwy N, Suite D, Demorest, GA 30535-4566 | 2005-11-10 |
1326029828 | Northwest Diagnostic Imaging, Inc | Radiology | 3200 Cobb Galleria Pkwy, Suite 120, Atlanta, GA 30339-5927 | 2005-11-10 |
1760463509 | Northwest Diagnostic Imaging, Inc | Radiology | 425 Broad St Se, Gainesville, GA 30501-3712 | 2005-11-09 |
1508847328 | Northwest Diagnostic Imaging, Inc | Radiology | 2287 Salem Rd Se, Conyers, GA 30013-2025 | 2005-11-09 |
Street Address |
2706 WATSON BLVD SUITE D |
City | WARNER ROBINS |
State | GA |
Zip Code | 31093-2997 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316394976 | Northside Imaging LLC | Radiology | 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 | 2016-05-24 |
1275912685 | Mri & Imaging of Georgia, LLC | Clinic/Center | 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 | 2015-05-19 |
1225260664 | Open Mri of Georgia, Inc | Radiology | 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 | 2009-08-19 |
1871747022 | Gerald Wayne Bohanan | Clinic/Center | 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 | 2008-11-13 |
1336123967 | David C Rosenberg | Radiology | 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 | 2005-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922654102 | Hui Bostian | Technician | 402 Pinecrest Dr., Warner Robins, GA 31093 | 2019-08-14 |
1457914616 | Janvi Hemantkumar Wadiwala | Student in an Organized Health Care Education/Training Program | 233 North Houston Rd, Suite 140e, Warner Robins, GA 31093 | 2019-04-15 |
1477033124 | Urological Health Center, PC | Urology | 1770 Watson Boulevard, Warner Robins, GA 31093 | 2018-08-21 |
1477043719 | Revealing Strength Counseling, LLC | Counselor | 2762 Watson Blvd, Warner Robins, GA 31093 | 2018-05-11 |
1265930069 | Alma J Ellington | Counselor | 306 North Davis Drive, Suite B Room 4, Warner Robins, GA 31093 | 2018-01-26 |
1841707668 | Guiding Light Healthcare Services | Family Medicine | 306 N. Davis Dr., Suite B, Warner Robins, GA 31093 | 2018-01-02 |
1083143416 | Rosa C Gilbert | Counselor | 303 Mimosa, Warner Robins, GA 31093 | 2017-06-08 |
1982141545 | Ariel Young | Psychologist | 104 Stanton Circle, Warner Robins, GA 31093 | 2017-01-20 |
1801259437 | Gramps 'n' Grannies, Inc. | Assisted Living Facility | 502 North Huston Rd., Warner Robins, GA 31093 | 2016-03-31 |
1710346903 | Brenda Marie Warren | Marriage & Family Therapist | 106-b Olympia Dr., Warner Robins, GA 31093 | 2016-02-16 |
Find all providers in zip 31093 |
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 |
---|---|---|---|---|
1205902749 | Rex Wallace Tidwell | Radiology | 1601 Watson Blvd., Houston Medical Center, Warner Robins, GA 31093 | 2006-11-27 |
1447342886 | William Barry Smith | Radiology | 11 Willow Lake Dr, Warner Robins, GA 31093-8523 | 2006-09-29 |
1801878210 | Mark H. Ivey | Radiology | 320 Margie Drive, Heart of Georgia Medical Associates, Warner Robins, GA 31088-7817 | 2005-11-19 |
1316394976 | Northside Imaging LLC | Radiology | 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 | 2016-05-24 |
1356642581 | Medical Radiology Consultants, LLC | Radiology | 1601 Watson Blvd, Warner Robins, GA 31093-3431 | 2010-11-04 |
1225260664 | Open Mri of Georgia, Inc | Radiology | 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 | 2009-08-19 |
1083854343 | Ava Ann Powell | Radiology | 1601 Watson Blvd, Attn: Radiology Department, Warner Robins, GA 31093-3431 | 2009-02-26 |
1336332295 | Rebecca Beasley | Radiology | 1601 Watson Blvd, Warner Robins, GA 31093-3431 | 2007-08-23 |
1306049325 | Atif Iqbal Rana | Radiology | 1601 Watson Blvd, Warner Robins, GA 31093-3431 | 2007-06-07 |
1003841875 | Noman Ahmed Malik | Radiology | 1601 Watson Blvd, Houston Medical Center, Attn: Radiology Dept, Warner Robins, GA 31093-3431 | 2006-07-11 |
Find all providers in WARNER ROBINS |
City | WARNER ROBINS |
Zip Code | 31093 |
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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.