Ontario Radiology PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ONTARIO RADIOLOGY PLLC

Practice address

2 Coulter Rd
Clifton Springs, NY 14432-1122

Phone

(716) 689-1901

Fax

(716) 564-0209

NPI assigned

Sep 20, 2011

Last updated

May 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Baktash Bootorabi, MDNPI 1992758551

Title

MD/Owner

Phone

(315) 462-9561

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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.

• Baktash Bootorabi, MD

  • Diagnostic Radiology Physician
  • Clifton SPGS, NY
  • NPI 1992758551
  Medicare reassignment NPD Authorized official
• Abul Islam, MD

  • Hematology (Pathology) Physician
  • Buffalo, NY
  • NPI 1215901749
  NPD (past)
• Jeffrey Michael Jacobson, M.D.

  • Diagnostic Radiology Physician
  • Hornell, NY
  • NPI 1861446874
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1467735084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N FRENCH RD",
            "address_2": "SUITE 104",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282010",
            "telephone_number": "716-689-1901",
            "fax_number": "716-564-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COULTER RD",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "716-689-1901",
            "fax_number": "716-564-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARIO RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "BOOTORABI",
        "authorized_official_first_name": "BAKTASH",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "315-462-9561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calie R Northrop, NP
• Carrie Z. O'Neill, D.P.M.
• Maryann Obrien
• Michael J Oconnor, DC
• Cassidy Olena
• Susan Orego, RN
• Hannah Orsino
• Frederick Henry Osborne, NPP
• Kristin Oswald
• Marcia Lynn Palermo, RN

• Diagnostic Radiology Physician in Clifton Springs, NY
• Providers in Clifton Springs, 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 May 8, 2017; 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.