Northwest Radiology

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

RAD0142 Issued in RI

Legal business name

NORTHWEST RADIOLOGY

Practice address

36 Bridge Way
Pascoag, RI 02859-3131

Phone

(401) 568-7661

Fax

(401) 567-0900

NPI assigned

Mar 27, 2008

Last updated

Apr 16, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHWEST COMMUNITY HEALTH CAREAs reported in NPPES

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

Authorized official

Name

Mr. Peter Bancroft

Title

Ceo

Phone

(401) 568-7661

Specialties & licenses 1

Addresses

Part of

Northwest Community Health Care

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1104098441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BRIDGE WAY",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028593131",
            "telephone_number": "401-568-7661",
            "fax_number": "401-567-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BRIDGE WAY",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028593131",
            "telephone_number": "401-568-7661",
            "fax_number": "401-567-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST RADIOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST COMMUNITY HEALTH CARE",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-568-7661",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "RI",
            "license": "RAD0142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Community Health Care
• Northwest Community Health Care (WellOne Primary Medical and Dental Care)
• Northwest Community Health Care
• Northwest Community Health Care
• Northwest Dental (WellOne Primary Medical and Dental Care)
• Maureen Day O'Shea, LMHC
• Dayna Eveyln Orourke, RNP
• Overlook Eden Operations, LLC
• Mikayla Noelle Page, CNP
• Michele Marie Paquet, MD

• Radiology Clinic/Center in Pascoag, RI
• Providers in Pascoag, RI by specialty
• Radiology Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.