Organization Active NPI

Nuclear Phyicians LTD

  • Radiology Clinic/Center
  • Stow, OH
National Provider Identifier
1356420632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
0732IC Issued in OH
Legal business name
NUCLEAR PHYICIANS LTD
Practice address
4161 Bridgewater Pkwy
Stow, OH 44224-6191
Phone
(330) 920-3770
Fax
(330) 920-9770
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony M. Passalaqua, M.D.
Title
Director
Phone
(330) 920-3770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 0732IC OH Primary

Addresses

Primary practice location

4161 Bridgewater Pkwy
Stow, OH 44224-6191

Mailing address

4161 Bridgewater Pkwy
Stow, OH 44224-6191
Phone (330) 920-3770

National Provider Directory

National Provider Directory

Locations

4161 Bridgewater Pkwy
Stow, OH 44224
Phone (330) 865-4644

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356420632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 BRIDGEWATER PKWY",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246191",
            "telephone_number": "330-920-3770",
            "fax_number": "330-920-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 BRIDGEWATER PKWY",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246191",
            "telephone_number": "330-920-3770",
            "fax_number": "330-920-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCLEAR PHYICIANS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PASSALAQUA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "330-920-3770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "OH",
            "license": "0732IC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.