Telerad of Ny Account Management

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

TELERAD OF NY ACCOUNT MANAGEMENT

Practice address

9523 Lakeside CT.
Clarence, NY 14031-0000

Phone

(716) 759-1548

Fax

(214) 712-2487

NPI assigned

Jan 15, 2010

Organization subpart

No

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

Authorized official

Name

Joseph H Gatewood, MD

Title

President

Phone

(214) 712-2000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1790016616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "SUITE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331",
            "telephone_number": "214-712-2074",
            "fax_number": "214-712-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9523 LAKESIDE CT.",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140310000",
            "telephone_number": "716-759-1548",
            "fax_number": "214-712-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELERAD OF NY ACCOUNT MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "GATEWOOD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-712-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Stoll, SLP
• Sharon Patricia Stoyell, RPH
• Richard M Sullivan, LCSW-R
• Christina Nichole Summerville, P.T.
• Nicole Marie Swiatek, PT
• Sandra Maria Ticen, MS, LCAT, CAS
• Tina Degeorge Physical Therapist, PLLC
• Margaret M Tirado, OTR
• Carmine L Tiso, DDS
• Joann Vattimo

• All providers in Clarence, NY
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.