Active NPI
Susquehanna Valley Diagnostic Imaging Inc.
- Diagnostic Radiology Physician
- Bloomsburg, PA
National Provider Identifier
1689959595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SUSQUEHANNA VALLEY DIAGNOSTIC IMAGING INC.
- Practice address
- 6850 Lows Rd
Bloomsburg, PA 17815-8708 - Phone
- (570) 784-6243
- Fax
- (570) 784-6242
- NPI assigned
- Oct 12, 2011
- 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
- Ty Williams
- Title
- Administrator
- Phone
- (570) 784-6243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
6850 Lows Rd
Bloomsburg, PA 17815-8708
Mailing address
6850 Lows Rd
Bloomsburg, PA 17815-8708
Phone (570) 784-6243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6850 Lows Rd
Ste 317
Bloomsburg, PA 17815
Phone (570) 784-6243
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neuroradiology Physician
- Farmington Hills, MI
- NPI 1043530215
Diagnostic Radiology, PA
-
- Diagnostic Radiology Physician
- Phoenixville, PA
- NPI 1316941859
-
- Diagnostic Radiology Physician
- Sayre, PA
- NPI 1265428908
-
- Diagnostic Radiology Physician
- Jersey Shore, PA
- NPI 1487617049
-
- Otolaryngology Physician
- Scottsdale, AZ
- NPI 1790781250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318377600000",
"number": "1689959595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 LOWS RD",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178158708",
"telephone_number": "570-784-6243",
"fax_number": "570-784-6242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 LOWS RD",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178158708",
"telephone_number": "570-784-6243",
"fax_number": "570-784-6242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSQUEHANNA VALLEY DIAGNOSTIC IMAGING INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-12",
"last_updated": "2011-10-12",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "TY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "570-784-6243"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomsburg, PA
- Richard Henry Sunday, D.M.D.
- Sunset Ridge Rehabilitation and Nursing Center LLC
- Corey Suraci
- Susquehanna Physical Therapy Associates, Inc.
- Susquehanna Surgery Center Inc
- Susquehanna Valley Medical Specialties
- Susquehanna Valley Medical Specialties, PC
- Susquehanna Valley Prosthetics & Orthotics, Inc.
- Nicole L Svensson, RN
- James Joseph Swantek II, BS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.