Active NPI
Northwest Radiology Consultants, PC
- Diagnostic Radiology Physician
- Atlanta, GA
National Provider Identifier
1598746000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- NORTHWEST RADIOLOGY CONSULTANTS, PC
- Doing business as
- Diagnostic Imaging of Buckhead, LLC
- Practice address
- 2045 Peachtree Rd NE
Terrace Level, Suite 2
Atlanta, GA 30309-1414 - Phone
- (404) 352-2590
- Fax
- (404) 352-3802
- NPI assigned
- Nov 10, 2005
- 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
- Mr. Daniel J Schaefer
- Title
- Coo
- Phone
- (770) 300-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | GA | Primary |
Addresses
Primary practice location
2045 Peachtree Rd NE
Terrace Level, Suite 2
Atlanta, GA 30309-1414
Mailing address
3480 Preston Ridge Rd Ste 600
Credentialing Department
Alpharetta, GA 30005-5462
Phone (770) 300-0101
Other names 1
- Diagnostic Imaging of Buckhead, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Diagnostic Imaging of Buckhead LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Albany, GA
- NPI 1457332967
Locations
2045 Peachtree Rd NE
Ste 2
Atlanta, GA 30309
Phone (404) 352-2590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1598746000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3480 PRESTON RIDGE RD STE 600",
"address_2": "CREDENTIALING DEPARTMENT",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300055462",
"telephone_number": "770-300-0101",
"fax_number": "770-300-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 PEACHTREE RD NE",
"address_2": "TERRACE LEVEL, SUITE 2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091414",
"telephone_number": "404-352-2590",
"fax_number": "404-352-3802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST RADIOLOGY CONSULTANTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHAEFER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "770-300-0101",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Diagnostic Imaging of Buckhead, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.