GREATER NORTHEAST RADIOLOGY ASSOCIATES, P.C. (NPI# 1457656688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457656688 |
| Entity Type | Organization |
| Organization Name | GREATER NORTHEAST RADIOLOGY ASSOCIATES, P.C. |
| Practice Address |
751 E Church St Elmira NY 14901-2836 |
| Mailing Address |
545 Elmont Rd Elmont NY 11003-4002 |
| Practice Telephone | 6077671122 |
| Practice Fax Number | 6077671121 |
| Mailing Telephone | 5164957129 |
| Mailing Fax Number | 5169772874 |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | DR. DANIEL E. BEYDA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5163544200 |
| Authorized Official Credential | M.D. |
| 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 |
|---|---|---|---|
| MD | 443223100 | 05 | |
| NY | 03320610 | 05 | |
| PA | 1025728870001 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | GREATER NORTHEAST RADIOLOGY ASSOCIATES, P.C. | 113-02 Queens Boulevard, Forest Hills, Ny 11375 |
| Street Address |
751 E CHURCH ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14901-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356587414 | Imaging Radiology Associates,llc | Radiology | 751 E Church St, Elmira, NY 14901-2836 | 2008-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
| 1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
| 1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
| 1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
| Find all providers in zip 14901 | ||||
| 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 |
|---|---|---|---|---|
| 1578795290 | Richard Grinstead | Radiology | Arnot Ogden Medical Center, 600 Roe Ave, Elmira, NY 14905 | 2009-08-13 |
| 1356587414 | Imaging Radiology Associates,llc | Radiology | 751 E Church St, Elmira, NY 14901-2836 | 2008-12-19 |
| 1376633313 | Kevin H. Klayman | Radiology | 600 Roe Ave, Arnot Ogden Medical Center, Elmira, NY 14905 | 2006-10-13 |
| 1255309985 | Edwin R Acosta | Radiology | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-03-09 |
| 1811965502 | Thomas F Taylor | Radiology | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-03-09 |
| 1871561522 | Edward D Williams | Radiology | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-03-09 |
| 1013985761 | John H Chotkowski | Radiology | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-03-09 |
| 1922075902 | John R Mootz | Radiology | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-03-08 |
| 1417924408 | David T Rayne | Radiology | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-03-08 |
| 1861469819 | Edwin P Hutsal | Radiology | 600 Roe Ave, Elmira, NY 14905-1629 | 2006-03-08 |
| Find all providers in ELMIRA | ||||
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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.