College Fields MRI LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

COLLEGE FIELDS MRI LLC

Practice address

130 Enclave Dr
New Castle, PA 16105-3208

Phone

(724) 658-9700

Fax

(724) 658-9666

NPI assigned

Apr 24, 2006

Last updated

Mar 26, 2008By 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. Terry D ShafferNPI 1154402410

Title

Owner/Operator

Phone

(724) 658-9700

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Terry D Shaffer, M.D.

  • Diagnostic Radiology Physician
  • New Castle, PA
  • NPI 1154402410
  NPD (past) Authorized official

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1578529079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ENCLAVE DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053208",
            "telephone_number": "724-658-9700",
            "fax_number": "724-658-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ENCLAVE DR",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053208",
            "telephone_number": "724-658-9700",
            "fax_number": "724-658-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE FIELDS MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "724-658-9700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019247120001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARKBCBS",
            "identifier": "1398419",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamri A Clyburn
• Dawnitza Marie Colaluca, DPT
• Andrew Cole
• Justine Anne Coleman, RDH
• Silvia E Coleman, MD
• Gabriella Ann Colucci
• Rocco John Combine, CNP
• Community Alternatives, Inc.
• Compass Therapeutics Inc
• Compassion Mental Health Services of Pennsylvania, PLLC

• Diagnostic Radiology Physician in New Castle, PA
• Providers in New Castle, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.