Premier Diagnostic Services, Inc

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

Legal business name

PREMIER DIAGNOSTIC SERVICES, INC

Practice address

378 Page St.
Suite 101
Stoughton, MA 02072-1124

Phone

(800) 346-2111

Fax

(508) 584-6362

NPI assigned

Jun 22, 2005

Last updated

Mar 20, 2023By 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

Mr. Bryon L Becker

Title

VP

Phone

(508) 584-5600

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations (25 of 26)

Practitioners 107

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.

• John H Al-Jamal, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Boston, MA
  • NPI 1134143290
  NPD
• Soheil Amin-Hanjani, M.D.

  • Obstetrics & Gynecology Physician
  • Brockton, MA
  • NPI 1598723512
  NPD
• Betsy S August, MD

  • Obstetrics & Gynecology Physician
  • Salem, MA
  • NPI 1346231271
  NPD
• Rose Ann Berwald, M.D.

  • Gynecology Physician
  • Woburn, MA
  • NPI 1346208303
  NPD
• Jamie Bond, M.D.

  • Obstetrics & Gynecology Physician
  • Concord, MA
  • NPI 1730171943
  NPD
• Nicole Hurley Boudreau, MD

  • Obstetrics & Gynecology Physician
  • Brookline, MA
  • NPI 1275568305
  NPD
• Steven Lee Chang, M.D., M.S.

  • Urology Physician
  • Boston, MA
  • NPI 1962699785
  NPD
• Anjan K Chaudhury, M.D.

  • Obstetrics & Gynecology Physician
  • Brookline, MA
  • NPI 1477500262
  NPD
• Patricia D Chernosky, M.D.

  • Obstetrics & Gynecology Physician
  • Worcester, MA
  • NPI 1730142779
  NPD
• Byungyol Chun, MD

  • Obstetrics & Gynecology Physician
  • Woburn, MA
  • NPI 1356337141
  NPD
• June S Chun, MD

  • Obstetrics & Gynecology Physician
  • Norwood, MA
  • NPI 1912906223
  NPD
• Steven J Dakoyannis, MD

  • Obstetrics & Gynecology Physician
  • Revere, MA
  • NPI 1013908318
  NPD

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1659377802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 PAGE ST.",
            "address_2": "SUITE 101",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721124",
            "telephone_number": "800-346-2111",
            "fax_number": "508-584-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 PAGE ST.",
            "address_2": "SUITE 101",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020721124",
            "telephone_number": "800-346-2111",
            "fax_number": "508-584-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIAGNOSTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "BRYON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "508-584-5600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471B0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Poel, PHARMD
• Positive Energy Medicine
• Jenna Victoria Pothier
• Nooruddin Pradhan, D.M.D.
• Premier Diagnostic Services Inc 2
• Sunngan Prevoe
• Primecore Health Solutions, LLC
• Jonathan Leo Prone
• Jeffrey Emannuel Prophete
• PSL Home Care Services LLC

• Sonography Radiologic Technologist in Stoughton, MA
• Providers in Stoughton, MA by specialty
• Sonography Radiologic Technologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.