Manomednet Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

42902 Issued in MA

Legal business name

MANOMEDNET INC.

Doing business as

Manomednet

Practice address

40 Wright St
Wing Baystate Radiology
Palmer, MA 01069-1138

Phone

(413) 284-5243

NPI assigned

Dec 19, 2014

Last updated

Dec 22, 2014By 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

Dr. Jeffrey C Allard, M.D.

Title

President

Phone

(413) 284-5243

Specialties & licenses 1

Addresses

Other names 1

• MANOMEDNET Doing business as

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1811395064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 SILVER ST",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010959811",
            "telephone_number": "413-544-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WRIGHT ST",
            "address_2": "WING BAYSTATE RADIOLOGY",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691138",
            "telephone_number": "413-284-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOMEDNET INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "ALLARD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-284-5243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "42902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANOMEDNET",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Livingston, LICSW
• Gina L Luciano, MD
• Janet R Magnani, MD
• David L Maguire, M.D.
• Suania Maldonado, CLINICIAN
• Kimberly A Marakovits, DO
• Nicole Marie Marceau-Reuter, LICSW
• Jonathan H Marsh, MD
• Liane Mary Martin, OTR/L
• Oscar A. Martinez, D.O.

• Diagnostic Radiology Physician in Palmer, MA
• Providers in Palmer, MA by specialty
• Diagnostic Radiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.