NORTHWEST DIAGNOSTIC IMAGING, INC


Address: 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997
Phone: 6789536033

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
GA Allopathic & Osteopathic Physicians

Other Provider Identifier

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 Provider/Organization Names

Other Name Type Code
Imaging Center of Central Georgia Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2706 WATSON BLVD
SUITE D
City WARNER ROBINS
State GA
Zip Code 31093-2997

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City WARNER ROBINS
Zip Code 31093

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Dataset Information

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.

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