STEWARD PET IMAGING, LLC (NPI# 1992076632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992076632 |
| Entity Type | Organization |
| Organization Name | STEWARD PET IMAGING, LLC |
| Other Organization Name | STEWARD PET IMAGING, LLC AT NASHOBA VALLEY MEDICAL CENTER |
| Practice Address |
200 Groton Rd Ayer MA 01432-1168 |
| Mailing Address |
500 Boylston St Boston MA 02116-3740 |
| Practice Telephone | 9787948000 |
| Mailing Telephone | 8778778455 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |
| Authorized Official Name | MR. ROBERT E GUYON JR. (CEO) |
| Authorized Official Telephone | 6174194707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
4NNJ | MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Steward PET Imaging, LLC at Nashoba Valley Medical Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841447927 | Steward Pet Imaging, LLC | Clinic/Center | 735 Cambridge St, Brighton, MA 02135-2926 | 2008-08-20 |
| 1750538831 | Steward Pet Imaging, LLC | Clinic/Center | 70 Walnut St, Foxboro, MA 02035-5312 | 2008-08-20 |
| Street Address |
200 GROTON RD |
| City | AYER |
| State | MA |
| Zip Code | 01432-1168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427431 | Essent Healthcare - Ayer, Inc. | General Acute Care Hospital | 200 Groton Rd, Ayer, MA 01432-1168 | 2005-06-14 |
| 1356940019 | Jennifer Mansir | 200 Groton Rd, Ayer, MA 01432-1168 | 2020-10-22 | |
| 1154955904 | Timothy Michael Patno | Registered Nurse | 200 Groton Rd, Ayer, MA 01432-1168 | 2020-03-02 |
| 1356981310 | Caitlin Silva | Dietitian, Registered | 200 Groton Rd, Ayer, MA 01432-1168 | 2020-01-08 |
| 1629586565 | Nashoba Valley Medical Center, A Steward Family Hospital, Inc | Psychiatry & Neurology | 200 Groton Rd, Ayer, MA 01432-1168 | 2018-01-12 |
| 1801299730 | Carol Ann Orton | Nurse Practitioner | 200 Groton Rd, Occupational Health Center, Ayer, MA 01432-1168 | 2014-10-06 |
| 1942601752 | Jennifer Stanton | Nurse Practitioner | 200 Groton Rd, Ayer, MA 01432-1168 | 2014-09-11 |
| 1306262183 | Sara Schwarz | Dietary Manager | 200 Groton Rd, Ayer, MA 01432-1168 | 2014-03-17 |
| 1700216850 | Nashoba Valley Medical Center, A Steward Family Hospital, Inc. | Psychiatric Unit | 200 Groton Rd, Ayer, MA 01432-1168 | 2013-11-26 |
| 1215376405 | Marie G Bennett | Nurse Practitioner | 200 Groton Rd, Ayer, MA 01432-1168 | 2013-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467605378 | Linda Thompson Ward | Counselor | 11 Depot Square, Advocates, Ayer, MA 01432 | 2008-10-23 |
| 1841339637 | Robert O Voight | Preventive Medicine | 200 Gratar Road, Ayer, MA 01432 | 2007-02-06 |
| 1548319957 | Sally Floyd | Counselor | 34 Main Street, Ayer, MA 01432 | 2007-01-09 |
| 1598794505 | Theresa Piotrowski | Family Medicine | 190 Groton Rd Ste 200, Ayer, MA 01432 | 2006-07-02 |
| 1629016928 | Karl A Bernhard | Family Medicine | 42 Patton Rd., Devens Fed. Med. Center, Devens, MA 01432 | 2006-06-02 |
| 1134177546 | Kenneth A Janes | Surgery | 190 Groton Road, Suite 210, Ayer, MA 01432 | 2006-05-05 |
| 1619943222 | Charles D Howard | Ophthalmology | 42 Patton Road, Federal Medical Center Devens, Ayer, MA 01432 | 2006-02-23 |
| 1952391849 | Amjad Husain | Internal Medicine | 200 Groton Road, Ayer, MA 01432 | 2005-10-24 |
| 1578552964 | Central Ma Cardiovascular Physicians Inc | Internal Medicine | 198 Groton Road, Ste 4, Ayer, MA 01432 | 2005-10-18 |
| 1467441857 | Adam W Cerel | Internal Medicine | 198 Groton Rd, Ste 4, Central Ma Cardiovascular Physicians, Inc, Ayer, MA 01432 | 2005-10-18 |
| Find all providers in zip 01432 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| 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 |
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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.