X-Ray Professional Association

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

X-RAY PROFESSIONAL ASSOCIATION

Practice address

2 1/2 Beacon St
Concord, NH 03301-4447

Phone

(603) 228-1521

Fax

(603) 225-2510

NPI assigned

Feb 10, 2006

Last updated

Oct 18, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

X-RAY PROFESSIONAL ASSOCIATIONAs reported in NPPES

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

Authorized official

Name

Timothy J McCormack, MDNPI 1992778773

Title

Director

Phone

(603) 228-1521

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, AZ, CA, OH, UT, MO, IL, MI, CO, TX, FL, ID, OR, GA, HI, NC, WA, SC, VA, PA, WI, KS, MA, DC, MD, NV, IN27 enrollments

Enrollment records 27

Part of

Xray Professional Assoc

Locations

Practitioners 98

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.

• Herlen Alencar, M.D.

  • Vascular & Interventional Radiology Physician
  • Concord, NH
  • NPI 1083839864

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Constantine P Brocoum, MD

  • Diagnostic Radiology Physician
  • Concord, NH
  • NPI 1528031317
  Medicare reassignment Care Compare group NPD
• Benjamin Daniel Chan, MD

  • Diagnostic Radiology Physician
  • Concord, NH
  • NPI 1134514904

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Elizabeth Fleming Clemente, M.D.

  • Diagnostic Radiology Physician
  • Concord, NH
  • NPI 1437392131
  Medicare reassignment Care Compare group NPD
• Matthew H Dimasi, MD

  • Diagnostic Radiology Physician
  • Concord, NH
  • NPI 1023082641
  Medicare reassignment Care Compare group NPD
• David Andrew Glazier, M.D.

  • Diagnostic Radiology Physician
  • Concord, NH
  • NPI 1336476738
  Medicare reassignment Care Compare group NPD
• Adrienne Ruth Greenlaw, MD

  • Diagnostic Radiology Physician
  • Laconia, NH
  • NPI 1720009566
  Medicare reassignment Care Compare group NPD
• Steffen Haider, MD

  • Vascular & Interventional Radiology Physician
  • Concord, NH
  • NPI 1982023230

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Marianne Reed Petruccelli, M.D.

  • Diagnostic Radiology Physician
  • Concord, NH
  • NPI 1326300914
  Medicare reassignment Care Compare group NPD
• Arie I Salis, M.D.

  • Vascular & Interventional Radiology Physician
  • Concord, NH
  • NPI 1649243635

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Jesse B Smith, MD

  • Diagnostic Radiology Physician
  • Portsmouth, NH
  • NPI 1659449270
  Medicare reassignment Care Compare group NPD
• Michael Henry Stella, MD

  • Diagnostic Radiology Physician
  • Concord, NH
  • NPI 1710962568
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1790758449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 1/2 BEACON ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014447",
            "telephone_number": "603-228-1521",
            "fax_number": "603-225-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 1/2 BEACON ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014447",
            "telephone_number": "603-228-1521",
            "fax_number": "603-225-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X-RAY PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "X-RAY PROFESSIONAL ASSOCIATION",
        "enumeration_date": "2006-02-10",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "603-228-1521",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ziwei Wu
• Jessica Wunderlich, MA
• Bridget Wyatt
• Alyssa Wyman, LICSW
• William J Wyman, DO
• Yaqian Xu, MD
• Cassie Yackley, PSY.D.
• Courtney Yacovelli, MS, RD, LDN
• Amanda E C Yager, CRNA
• Ronald L. Yap, MD

• Diagnostic Radiology Physician in Concord, NH
• Providers in Concord, NH by specialty
• Diagnostic Radiology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.