Oneida Medical Imaging Center, LLC

Key facts

NPI

1508858010

Entity type

Organization (NPI type 2)

Primary specialty

Diagnostic Radiology Physician 2085R0202X

License

173011 (NY)

Legal business name

ONEIDA MEDICAL IMAGING CENTER, LLC

Practice address

578 Seneca St
Oneida, NY 13421-2600

Phone

(315) 361-4300

Fax

(315) 361-4372

NPI assigned

Aug 19, 2005

Organization subpart

No

Authorized official

Name

Dr. Ralph Stevens, M.D.

Title

Director of Operations

Phone

(315) 361-4300

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 12, 2007.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1508858010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 SENECA ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212600",
            "telephone_number": "315-361-4300",
            "fax_number": "315-361-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 SENECA ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212600",
            "telephone_number": "315-361-4300",
            "fax_number": "315-361-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEIDA MEDICAL IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "315-361-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "173011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01998585",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

• Oneida Health Systems, Inc.
• Oneida Healthcare Radiology Associates, PC
• Oneida Indian Health Services
• Oneida Medical Associates PLLC
• Oneida Medical Center Pharmacy Inc
• Oneida Medical Practice, PC
• Oneida Medical Practice, PC
• Oneida Medical Practice, PC
• Oneida Medical Practice, PC
• Oneida Medical Practice, PC

All providers in Oneida, NY · Diagnostic Radiology Physician in New York