NPIMap

Organization Active NPI

Torrington Radiologists PC

  • Diagnostic Radiology Physician
  • Torrington, CT
National Provider Identifier
1043240963
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TORRINGTON RADIOLOGISTS PC
Practice address
220 Kennedy Dr
Torrington, CT 06790-3096
Phone
(860) 489-7314
NPI assigned
Jul 4, 2006
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen D Go, MDNPI 1801822473
Title
President
Phone
(860) 489-7314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

220 Kennedy Dr
Torrington, CT 06790-3096

Mailing address

PO Box 610
Windsor, CT 06095-0610
Phone (860) 489-7314

Other practice location 1

540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6121

Other identifiers 2

IdentifierTypeStateIssuer
004001731MedicaidCT
CD8509OtherCTMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040322000340 CT Part B Supplier - Clinic/Group Practice 2961393905 Receives reassigned benefits from 8 practitioners
Practice locations: Winsted, CT; Torrington, CT; Goshen, CT
O20240227003532 TX Part B Supplier - Clinic/Group Practice 2961393905 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

120 Park Lane Rd
Ste B202
New Milford, CT 06776
Phone (860) 210-0082

57 Commercial Blvd
Torrington, CT 06790
Phone (860) 489-7314

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1043240963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060950610",
            "telephone_number": "860-489-7314",
            "fax_number": "860-489-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 KENNEDY DR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903096",
            "telephone_number": "860-489-7314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Litchfield St",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067906679",
            "country_code": "US",
            "telephone_number": "860-496-6121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TORRINGTON RADIOLOGISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-489-7314",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004001731",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CD8509",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.