St. Josephs Imaging Associates PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ST. JOSEPHS IMAGING ASSOCIATES PLLC

Practice address

5100 W Taft Rd
Suite 2a
Liverpool, NY 13088-3807

Phone

(315) 452-2555

Fax

(315) 452-2559

NPI assigned

Sep 6, 2005

Last updated

Oct 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alan Foster, M.D.NPI 1942292974

Title

Medical Director

Phone

(315) 452-2555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ, RI, GA, OR, TX, CA7 enrollments

Enrollment records 7

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St Josephs Medical PC

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1942501747

  Member Of

  NPD member

Locations

Practitioners 76

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.

• Mark T. Baesl, MD

  • Vascular & Interventional Radiology Physician
  • Syracuse, NY
  • NPI 1750547386

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Lawrence Calabrese, M.D.

  • Diagnostic Radiology Physician
  • Liverpool, NY
  • NPI 1548252646
  Medicare reassignment Care Compare group NPD
• Michael Chang, M.D.

  • Diagnostic Radiology Physician
  • Syracuse, NY
  • NPI 1457688731
  Medicare reassignment Care Compare group NPD
• Philip J. Fraccola, M.D.

  • Diagnostic Radiology Physician
  • Liverpool, NY
  • NPI 1699767707
  Medicare reassignment Care Compare group NPD
• Gary D Leavitt, M.D.

  • Diagnostic Radiology Physician
  • Liverpool, NY
  • NPI 1053303040

  CA

  Medicare reassignment Care Compare group NPD
• Juno Lee, M.D.

  • Vascular & Interventional Radiology Physician
  • Syracuse, NY
  • NPI 1265424006

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Kimberly Lynn Olrich, FNP

  • Family Nurse Practitioner
  • Camillus, NY
  • NPI 1407093644
  Medicare reassignment Care Compare group NPD
• Srinivas R Paidy, M.D.

  • Diagnostic Radiology Physician
  • Utica, NY
  • NPI 1346459617
  Medicare reassignment Care Compare group NPD
• Sherwin C Pollock, M.D.

  • Diagnostic Radiology Physician
  • Liverpool, NY
  • NPI 1164414066
  Medicare reassignment Care Compare group NPD
• Michael Alexander Rachun, MD

  • Diagnostic Radiology Physician
  • Syracuse, NY
  • NPI 1134656598
  Medicare reassignment Care Compare group NPD
• John P Teixeira, M.D.

  • Diagnostic Radiology Physician
  • Liverpool, NY
  • NPI 1124010038
  Medicare reassignment Care Compare group NPD
• Christopher J Vaughn, MD

  • Diagnostic Radiology Physician
  • Liverpool, NY
  • NPI 1497728091
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1093709180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CROSSROADS PARK DR",
            "address_2": "2ND FL",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883589",
            "telephone_number": "315-295-2100",
            "fax_number": "315-295-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "SUITE 2A",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883807",
            "telephone_number": "315-452-2555",
            "fax_number": "315-452-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPHS IMAGING ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "315-452-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00555500",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Joseph's Hospital Health Center
• St Josephs Hospital
• St Josephs Medical PC
• St. Joseph's Health at Home, Inc.
• St. Joseph's Hospital Health Center
• Leah Stagnitta, M.S. CCC-SLP
• Richard Phelps Stankus, PHD MD
• Robin Stannard, R.N.
• Alessandra Teresa Stark, RBT
• Gabrielle Starr-Baier

• Diagnostic Radiology Physician in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.