North Country Precision Medical Imaging, PC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

NORTH COUNTRY PRECISION MEDICAL IMAGING, PC

Practice address

Alice Hyde Hospital
133 Park St
Malone, NY 12953

Phone

(315) 782-2620

Fax

(315) 788-4980

NPI assigned

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

Christine Crump, CCSP

Title

Hipaa Compliance Officer

Phone

(315) 782-2620

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1669431441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 ARSENAL ST",
            "address_2": "SUITE 504",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012229",
            "telephone_number": "315-782-2620",
            "fax_number": "315-788-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALICE HYDE HOSPITAL",
            "address_2": "133 PARK ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "12953",
            "telephone_number": "315-782-2620",
            "fax_number": "315-788-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY PRECISION MEDICAL IMAGING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "HIPAA COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "315-782-2620",
        "authorized_official_credential": "CCSP"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Nitschke
• Janice Nolan Norcross
• Wendy Rae Norman, MPT
• North Country Health Care, Medical PLLC
• North Country Pediatric Dentistry PLLC (Pediatric Dentistry of Malone)
• Northeast Medical Equipment Inc (North Country Medical)
• Northern Ambulance Corps, LLC
• Dylan O'Connor
• Elizabeth Lucille O'Connor, RN
• Kamie Lynn O'Connor

• Vascular & Interventional Radiology Physician in Malone, NY
• Providers in Malone, NY by specialty
• Vascular & Interventional Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.