SHIELDS PETCT AT BERKSHIRE MEDICAL CENTER LLC (NPI# 1316463813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316463813 |
| Entity Type | Organization |
| Organization Name | SHIELDS PETCT AT BERKSHIRE MEDICAL CENTER LLC |
| Other Organization Name | SHIELDS PETCT AT BERKSHIRE MEDICAL CENTER |
| Practice Address |
165 Tor Ct Pittsfield MA 01201-3001 |
| Mailing Address |
55 Christy Dr Brockton MA 02301-1813 |
| Practice Telephone | 8662584738 |
| Practice Fax Number | 8886624700 |
| Mailing Telephone | 5088971501 |
| Mailing Fax Number | 5088971599 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | JEFF RONNER (CFO) |
| Authorized Official Telephone | 6173767400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shields PETCT at Berkshire Medical Center | Doing Business As Name - Organization |
| Street Address |
165 TOR CT |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619921608 | Andrew J Demaggio | Physical Medicine & Rehabilitation | 165 Tor Ct, Pain Center, Pittsfield, MA 01201-3001 | 2006-05-22 |
| 1922580612 | Nichole Rapkowicz | Social Worker | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2018-08-30 |
| 1134630890 | Michelle Kirsten Nash | Dietitian, Registered | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2017-10-20 |
| 1386013795 | Karyn Koziara | Dietitian, Registered | 165 Tor Ct, Berkshire Medical Center Hillcrest Campus, Pittsfield, MA 01201-3001 | 2015-09-16 |
| 1760874028 | Orthotics West, Inc | Prosthetic/Orthotic Supplier | 165 Tor Ct, Suite 1057, Pittsfield, MA 01201-3001 | 2015-02-24 |
| 1508120445 | Constance Mary Flynn | Nurse Practitioner | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2012-06-26 |
| 1104078120 | Glenda Boykin | Physician Assistant | 165 Tor Ct, Pain Center, Pittsfield, MA 01201-3001 | 2008-10-22 |
| 1821254392 | Donald H. Scherling | Counselor | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2008-08-04 |
| 1881886026 | Kevin F Ryan | Nurse Practitioner | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2007-08-13 |
| 1700088341 | Jennifer M Wojtkowski | Nutritionist | 165 Tor Ct, Operation Better Start, Pittsfield, MA 01201-3001 | 2007-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033459698 | Baystate Mri & Imaging Center LLC | Clinic/Center | 725 North St, Pittsfield, MA 01201-4109 | 2013-02-19 |
| 1376858159 | Imaging Consultants Inc | Clinic/Center | 8 Conte Dr, Pittsfield, MA 01201-8298 | 2010-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081566 | Shields Pet-ct At Emerson Hospital LLC | Clinic/Center | 54 Baker Avenue Ext Ste 104, Concord, MA 01742-2137 | 2020-10-22 |
| 1437429305 | Northstar Imaging | Clinic/Center | 66 Dwight Rd, Suite 4, Longmeadow, MA 01106-1889 | 2012-01-09 |
| 1720313869 | M&tps Inc. | Clinic/Center | 5 Stub Toe Ln, Milford, MA 01757-1054 | 2009-10-07 |
| 1841447927 | Steward Pet Imaging, LLC | Clinic/Center | 735 Cambridge St, Brighton, MA 02135-2926 | 2008-08-20 |
| 1689623563 | Umass Memorial Mri & Imaging Center, LLC | Clinic/Center | 214 Shrewsbury St, Worcester, MA 01604-4629 | 2006-05-09 |
| 1558310474 | Baystate Mri & Imaging Center, LLC | Clinic/Center | 80 Wason Ave., Springfield, MA 01107-1119 | 2006-05-08 |
| 1487626644 | New England Mobile X-ray, Inc. | Clinic/Center | 3 Cabot Pl, Unit 9, Stoughton, MA 02072-4612 | 2006-02-02 |
| 1902421324 | Pdi Health Ma LLC | Clinic/Center | 1 Bridge St, Newton, MA 02458-1132 | 2020-06-11 |
| 1982165056 | Imaging Consultants Inc | Clinic/Center | 100 South St, Southbridge, MA 01550-4051 | 2019-03-29 |
| 1902367204 | Imaging Consultants Inc | Clinic/Center | 242 Green St, Gardner, MA 01440-1336 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
Please comment or provide details below to improve the information on SHIELDS PETCT AT BERKSHIRE MEDICAL CENTER LLC.
| 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.