SOUTHTOWNS CATHOLIC MRI LLC (NPI# 1699818716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699818716 |
| Entity Type | Organization |
| Organization Name | SOUTHTOWNS CATHOLIC MRI LLC |
| Practice Address |
3669 Southwestern Blvd Orchard Park NY 14127-1732 |
| Mailing Address |
3040 Amsdell Rd Hamburg NY 14075-5835 |
| Practice Telephone | 7166628543 |
| Practice Fax Number | 7166628590 |
| Mailing Telephone | 7166499000 |
| Mailing Fax Number | 7166499005 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GERALD J JOYCE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7166628543 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02002899 | 05 |
| Street Address |
3669 SOUTHWESTERN BLVD |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871546572 | Ashok X Kaushal | Emergency Medicine | 3669 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2006-05-17 |
| 1336786631 | Michelle Wilczek Knoop | Occupational Therapist | 3669 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2019-12-05 |
| 1417593328 | Deborah Joanne Quennell-kavcic | Physical Therapist | 3669 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2019-11-26 |
| 1568837185 | Tara Gawel | Physical Therapist | 3669 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2015-12-08 |
| 1528445434 | Anthony Gargano | Physician Assistant | 3669 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2015-04-29 |
| 1730584178 | Colleen Bondanza | Physical Therapist | 3669 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2014-10-28 |
| 1033435102 | Michael Thomas Mangione Jr. | Emergency Medicine | 3669 Southwestern Blvd, Orchard Park, NY 14127 | 2010-04-14 |
| 1891010153 | Julie Marie Luka | Specialist/Technologist | 3669 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2010-03-30 |
| 1932360773 | Bradley R Ertel | Physical Medicine & Rehabilitation | 3669 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2008-06-24 |
| 1881737609 | Cary B Cartonia | Specialist/Technologist | 3669 Southwestern Blvd, Orchard Park, NY 14127-1732 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| 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 |
|---|---|---|---|---|
| 1649597949 | Henry Frederick Goller | Radiology | 40 Brookins Green Dr, Orchard Park, NY 14127-2558 | 2010-04-26 |
| 1942443569 | Community Radiology of Erie, Inc. | Radiology | 51 S Meadow Dr, Orchard Park, NY 14127-2722 | 2009-04-13 |
| 1790785137 | John Michael Reiser | Radiology | 40 Birdsong Pkwy, Orchard Park, NY 14127-3068 | 2005-07-28 |
| 1932109253 | Jeffrey Lieberman | Radiology | 3055 Southwestern Blvd, Suite 104, Orchard Park, NY 14127-1231 | 2005-07-28 |
| 1144558057 | Stephanie L Soehnlein | Radiology | 3900 N Buffalo St, Orchard Park, NY 14127-1842 | 2009-12-04 |
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| 1740803998 | Hudson Valley Radiologists, PC | Radiology | 36 Pine St Apt 229, Poughkeepsie, NY 12601-3974 | 2020-05-22 |
| 1215550462 | Hudson Valley Radiologists, PC | Radiology | 50 Leonard St Unit 106, Beacon, NY 12508-3455 | 2020-05-22 |
| 1285257519 | Hudson Valley Radiologists, PC | Radiology | 14 Hilee Rd, Rhinebeck, NY 12572-2347 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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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.