NORTHWEST DIAGNOSTIC IMAGING, INC


Address: 2601 N Decatur Rd, Decatur, GA 30033-6127
Phone: 4043290656

NORTHWEST DIAGNOSTIC IMAGING, INC (NPI# 1255312070) 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) 1255312070
Entity Type Organization
Organization Name NORTHWEST DIAGNOSTIC IMAGING, INC
Other Organization Name OPEN MRI & IMAGING OF DEKALB, LLC
Practice Address 2601 N Decatur Rd
Decatur
GA 30033-6127
Mailing Address Po Box 932391
Atlanta
GA 31193-2391
Practice Telephone 4043290656
Practice Fax Number 4043290207
Mailing Telephone 6783935600
Mailing Fax Number 7703009018
Enumeration Date 2005-11-09
Last Update Date 2011-08-24
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 US DEPARRTMENT OF LABOR 226870813 01
GA RAILROAD MEDICARE CA0798 01
GA RAILROAD MEDICARE CH7800 01

Other Provider/Organization Names

Other Name Type Code
Open MRI & Imaging of Dekalb, LLC 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
1003897513 Northwest Diagnostic Imaging, Inc Radiology 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 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

Office Location

Street Address 2601 N DECATUR RD
City DECATUR
State GA
Zip Code 30033-6127

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922613785 Healing Minds, Helping Hearts, LLC Social Worker 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 2020-09-09
1700412517 Delana Finney Orthotist Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 2020-03-13
1194389353 Katherine Serafen Physician Assistant 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 2019-04-23
1194290973 Suzanne Johnson Psychologist Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 2018-10-09
1245705334 Mcleod Counseling Services, LLC Clinic/Center 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 2018-10-04
1225514797 Erkin Mirkhatovich Turganov Pharmacist 2951 Cedar Brook Dr, Decatur, GA 30033 2018-07-17
1356834972 Sharlencia Lord Nurse Practitioner 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 2018-06-08
1194213140 Zacarias Yanis Jr. Clinical Neuropsychologist 1276 Mcconnell Drive Ste C., Decatur, GA 30033 2018-04-25
1780181370 Ryan Patton Orthopaedic Surgery 2723 Hollywood Dr, Decatur, GA 30033 2018-04-10
1437669751 Sholanda D Hooper Nurse Practitioner 1601 Clairmont Rd, Decatur, GA 30033 2017-10-02
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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
1326650136 Tbi Diagnostic Centers of Georgia Radiology 4294 Memorial Dr Ste D, Decatur, GA 30032-1226 2020-08-21
1932685096 T2 Imaging Radiology 1376 Church Street, Suite 100, Decatur, GA 30030 2018-07-12
1952746802 Saurabh Gupta Radiology 2675 N Decatur Rd Ste 310, Decatur, GA 30033-6133 2013-05-06
1972735009 Open Mri of Georgia, Inc Radiology 2859 N Decatur Rd, Decatur, GA 30033-5911 2009-08-24
1447276225 Kevin L. Sullivan Radiology 250 Ponce De Leon Ave, Suite 100, Decatur, GA 30030-3406 2006-07-14
1366479255 Todd F Fibus Radiology Vamc-atlanta, 1670 Clairmont Road, Decatur, GA 30033 2006-06-27
1942255757 Martha H Garrison Radiology 125 E Trinity Pl, Suite 201, Decatur, GA 30030-3360 2006-05-23
1578539557 Abbas A Chamsuddin Radiology 1501 Clairmont Rd, Apt 1731, Decatur, GA 30033-4601 2006-02-28
1215919121 Sandra L Ridings-hesser Radiology 496 Medlock Rd Lowr Level, Decatur, GA 30030-1566 2005-11-16
1831192574 Larry J Cooper Radiology 1001 W Eagle Dr, Decatur, TX 76234-3745 2005-05-26
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Competitor

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City DECATUR
Zip Code 30033

Improve Information

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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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