Organization Active NPI

High Field Open MRI

  • Diagnostic Radiology Physician
  • Roswell, GA
National Provider Identifier
1447326178
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
00680 Issued in GA
Legal business name
HIGH FIELD OPEN MRI
Practice address
10630 Alpharetta Way
Roswell, GA 30076
Phone
(770) 649-8500
Fax
(770) 649-8591
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mr. Rajiv Goswami
Title
Operational Manager Partner
Phone
(770) 649-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 00680 GA Primary

Addresses

Primary practice location

10630 Alpharetta Way
Roswell, GA 30076

Mailing address

10630 Alpharetta Way
Roswell, GA 30076
Phone (770) 649-8500

Other identifiers 7

IdentifierTypeStateIssuer
43199OtherGACHRISTOPHER D DOOLEY LIC
9453OtherGAJAY S COFFSKY MD LICENSE
48479OtherGAKELVIN K BELCHER MD LIC #
9460OtherGAFRANK T DALY MD LICENSE #
24262OtherHIXSON L GORDON MD LIC #
55123OtherGALINTON W EBERHARDT MD LIC
13607OtherGAROBERT L DAVLES MD LIC #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050901000706 GA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6406888189 Receives reassigned benefits from 1 practitioner
Practice locations: Roswell, GA

National Provider Directory

National Provider Directory

Locations

10630 Alpharetta Hwy
Ste B
Roswell, GA 30076
Phone (770) 649-8500

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1447326178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 ALPHARETTA WAY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "770-649-8500",
            "fax_number": "770-649-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 ALPHARETTA WAY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "770-649-8500",
            "fax_number": "770-649-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH FIELD OPEN MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "GOSWAMI",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "OPERATIONAL MANAGER PARTNER",
        "authorized_official_telephone_number": "770-649-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "00680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTOPHER D DOOLEY LIC",
            "identifier": "43199",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAY S COFFSKY MD LICENSE",
            "identifier": "9453",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KELVIN K BELCHER MD LIC #",
            "identifier": "48479",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FRANK T DALY MD LICENSE #",
            "identifier": "9460",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIXSON L GORDON MD LIC #",
            "identifier": "24262",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINTON W EBERHARDT MD LIC",
            "identifier": "55123",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERT L DAVLES MD LIC #",
            "identifier": "13607",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.