Active NPI
Norwich Diagnostic Imaging Associates P.C
- Diagnostic Radiology Physician
- Norwich, CT
National Provider Identifier
1407833908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- NORWICH DIAGNOSTIC IMAGING ASSOCIATES P.C
- Practice address
- 326 Washington St
Norwich, CT 06360-2740 - Phone
- (860) 889-8331
- NPI assigned
- Dec 27, 2005
- Last updated
- Feb 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phillip Kohanski, MD
- Title
- President
- Phone
- (800) 927-0002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | CT | Primary |
Addresses
Primary practice location
326 Washington St
Norwich, CT 06360-2740
Mailing address
PO Box 9132
Brookline, MA 02446-9132
Phone (800) 927-0002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004089448 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
111 Salem Tpke
Norwich, CT 06360
Phone (860) 425-5900
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Diagnostic Radiology Physician
- Norwich, CT
- NPI 1578559225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518566400000",
"number": "1407833908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9132",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024469132",
"telephone_number": "800-927-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 WASHINGTON ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602740",
"telephone_number": "860-889-8331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORWICH DIAGNOSTIC IMAGING ASSOCIATES P.C",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-27",
"last_updated": "2018-02-14",
"status": "A",
"authorized_official_last_name": "KOHANSKI",
"authorized_official_first_name": "PHILLIP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-927-0002",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004089448",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
- Kristy Norbert, LCSW
- Tyann Nordness, CNM
- North American Partners in Anesthesia (Connecticut), PC
- Norwich Anesthesia Associates, PC
- Norwich Cardiac Medicine LLC
- Norwich Endocrinology LLC
- Norwich Eye Care P.C
- Norwich Family Dental Associates
- Norwich Infectious Disease Associates LLC
- Norwich Medical Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.