Williston Radiology Consultants PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

261QU0200X Issued in ND

Legal business name

WILLISTON RADIOLOGY CONSULTANTS PC

Practice address

3 4TH St E
Suite 201
Williston, ND 58801-5350

Phone

(701) 577-6337

Fax

(701) 577-4867

NPI assigned

Sep 14, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Leszek Jaszczak, MDNPI 1467528455

Title

President

Phone

(701) 577-6337

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Fairlight Medical Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leszek J Jaszczak, M.D.

  • Diagnostic Radiology Physician
  • Williston, ND
  • NPI 1467528455
  NPD (past) Authorized official

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1215260955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 4TH ST E",
            "address_2": "SUITE 201",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015350",
            "telephone_number": "701-577-6337",
            "fax_number": "701-577-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 4TH ST E",
            "address_2": "SUITE 201",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015350",
            "telephone_number": "701-577-6337",
            "fax_number": "701-577-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLISTON RADIOLOGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "JASZCZAK",
        "authorized_official_first_name": "LESZEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-577-6337",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "ND",
            "license": "261QU0200X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "261QU0200X",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010182",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0406731",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAICS",
            "identifier": "621111",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUNS",
            "identifier": "109956169",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPIN",
            "identifier": "2699617243",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairlight Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairlight Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Ernette Williams, PEER SUPPORT
• Williston Basin Eyecare Associates, P.C.
• Williston Center for Pediatric Therapy
• Williston Council for the Aging, Inc
• Williston Parks and Recreation Dept
• Williston Radiology Consultants PC
• Wilmac Special Education Unit
• George M Wilson, MD
• Amy L Wilt, RN, BSN, CDE
• Susan Withey

• Urgent Care Clinic/Center in Williston, ND
• Providers in Williston, ND by specialty
• Urgent Care Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.