Spectrum Radiology Associates PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SPECTRUM RADIOLOGY ASSOCIATES PLLC

Practice address

1150 Youngs Rd
Suite 111
Williamsville, NY 14221-8053

Phone

(716) 688-7622

Fax

(716) 688-7592

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carol A Jackson-Gibson, MD

Title

President

Phone

(716) 688-7622

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 1

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

• Western New York MRI LLP

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1043255854

  Member Of

  NPD member

Locations

Practitioners 1

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

• Vinod Nigam, MD

  • Diagnostic Radiology Physician
  • Williamsville, NY
  • NPI 1376542753
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1346346202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "SUITE 111",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218053",
            "telephone_number": "716-688-7622",
            "fax_number": "716-688-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "SUITE 111",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218053",
            "telephone_number": "716-688-7622",
            "fax_number": "716-688-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM RADIOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "JACKSON-GIBSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-688-7622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02143864",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROOS WNY GROUP NO.",
            "identifier": "512627001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwestern Testing Services, Inc.
• Joseph Anthony Sowinski, D.D.S.
• Eileen Spagna, LMT
• Edward John Spangenthal, MD
• Timothy Lawrence Speciale, D.O.
• Speech Language & Communication Associates SLP, OT, PT, PLLC
• Speech, Language, and Communication Associates
• Lynette A Spencer, RN
• Caterina Mimi Sperrazza, PA-C
• Charles Vincent Sperrazza, M.D.

• Diagnostic Radiology Physician in Williamsville, NY
• Providers in Williamsville, 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 Apr 26, 2013; 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.