NORTHAMPTON RADIOLOGIC ASSOCIATES, INC. (NPI# 1194761692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194761692 |
| Entity Type | Organization |
| Organization Name | NORTHAMPTON RADIOLOGIC ASSOCIATES, INC. |
| Practice Address |
30 Locust St Northampton MA 01060-2052 |
| Mailing Address |
291 Moody St Ludlow MA 01056-1246 |
| Practice Telephone | 4135822101 |
| Practice Fax Number | 4135822949 |
| Mailing Telephone | 8006886666 |
| Mailing Fax Number | 4135897554 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | DR. JOSEPH POLINO (PRESIDENT) |
| Authorized Official Telephone | 4136958367 |
| 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 | TUFTS | 701726 | 01 |
| MA | AETNA | 0012697 | 01 |
| VT | MEDICAID | 1006064 | 01 |
| MA | CONNECTICARE | 686823 | 01 |
| MA | RAILRAOD MEDICARE | CM0600 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 0008277 | 01 |
| MA | 9721185 | 05 | |
| MA | US DEPT. OF LABOR | 101822800 | 01 |
| Street Address |
30 LOCUST ST |
| City | NORTHAMPTON |
| State | MA |
| Zip Code | 01060-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518967991 | Gretchen E Loebel | Obstetrics & Gynecology | 30 Locust St, Northampton, MA 01060 | 2005-07-28 |
| 1962019117 | Anacelis Flecha | Nurse Practitioner | 30 Locust St, Northampton, MA 01060-2093 | 2020-09-30 |
| 1790304095 | Lauren Jacqueline Slebodnick | Physician Assistant | 30 Locust St, Northampton, MA 01060-2052 | 2020-04-16 |
| 1831722677 | Kristen L Hinchey | Physician Assistant | 30 Locust St, Northampton, MA 01060-2052 | 2020-02-20 |
| 1972071132 | Anne Evelyn Messier | Registered Nurse | 30 Locust St, Northampton, MA 01060-2093 | 2018-11-06 |
| 1083181242 | Dale Allen Thompson | Social Worker | 30 Locust St, Northampton, MA 01060-2093 | 2018-10-25 |
| 1578048757 | Alexandra Penzias | Clinical Nurse Specialist | 30 Locust St, Northampton, MA 01060-2052 | 2018-10-03 |
| 1023591211 | Katherine Mary Jaycox | Social Worker | 30 Locust St, Northampton, MA 01060-2052 | 2018-09-13 |
| 1689154825 | Patrick Ryan Fugler | Pharmacist | 30 Locust St, Northampton, MA 01060-2052 | 2018-08-17 |
| 1104329739 | Devon Charlotte Riley | Midwife | 30 Locust St, Northampton, MA 01060-2052 | 2018-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942869318 | Stephanie Jordan | Counselor | 16 Center St Ste 517, Northampton, MA 01060 | 2019-06-10 |
| 1659853828 | James Drisko | Social Worker | 159 Crescent St, Northampton, MA 01060 | 2018-09-04 |
| 1063994416 | Nancy P Doby | Social Worker | 84 Conz Street, Northampton, MA 01060 | 2018-09-02 |
| 1356821144 | Kathleen Ann Goodwin-boyd | Social Worker | Northampton High School, 380 Elm Street, Northampton, MA 01060 | 2018-08-21 |
| 1457847048 | Kathryn Karusaitis Basham | Social Worker | 155 Main Street C/o Dr. Herzog Phd, Northampton, MA 01060 | 2018-07-06 |
| 1700392289 | Angel Marie Kennedy | Behavioral Analyst | 351 Pleasant St Ste B126, Northampton, MA 01060 | 2017-12-20 |
| 1013437508 | Ricky Jermaine Logan | Counselor | 129 North King Street, Northampton, MA 01060 | 2017-06-26 |
| 1962858886 | Alicia Simoni | Social Worker | 25 Main St Ste 445, Northampton, MA 01060 | 2016-05-10 |
| 1134589708 | James Edmonstone | Clinic/Center | 78 Mainst., Suite 404, Northampton, MA 01060 | 2016-02-25 |
| 1114395639 | Danielle Baker | Speech-Language Pathologist | 228 King St Ste 2, Northampton, MA 01060 | 2015-09-15 |
| Find all providers in zip 01060 | ||||
| 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 |
|---|---|---|---|---|
| 1952403081 | Renna B Whittredge | Radiology | 60 Crescent St, Northampton, MA 01060-2115 | 2006-09-01 |
| 1760693352 | Leslie Trien | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2007-05-24 |
| 1902810096 | Julia Gates | Radiology | 30 Locust Street, Northampton, MA 01061-5001 | 2006-07-27 |
| 1407893738 | Andrew Michael Ciccarelli | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2006-06-02 |
| 1568424026 | Timothy C. Tash | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2006-04-03 |
| 1669433439 | Joseph R. Polino Jr. | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2006-03-31 |
| 1295796068 | David L. Rifken | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2006-03-31 |
| 1780645598 | Paul H. Kolbjornsen | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2006-03-31 |
| 1932160702 | James M. Donnelly | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2006-03-31 |
| 1750342523 | Louis V. Pacilio | Radiology | 30 Locust St, Northampton, MA 01060-2052 | 2006-03-31 |
| Find all providers in NORTHAMPTON | ||||
| City | NORTHAMPTON |
| Zip Code | 01060 |
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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.