Chautauqua Radiology, PC

Primary specialty

Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X

License

185798 Issued in NY

Legal business name

CHAUTAUQUA RADIOLOGY, PC

Practice address

529 Central Ave
Dunkirk, NY 14048-2514

Phone

(716) 672-8040

Fax

(716) 672-8060

NPI assigned

Apr 25, 2007

Last updated

Aug 27, 2009By 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. Jon A Muntz, MDNPI 1447309125

Title

President

Phone

(716) 363-6342

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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.

• Jon Alan Muntz, M.D.

  • Diagnostic Radiology Physician
  • Williamsville, NY
  • NPI 1447309125
  Medicare reassignment NPD Authorized official
• Brian G. Cromwell, MD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1548231541
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1861611956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140630069",
            "telephone_number": "716-672-8040",
            "fax_number": "716-672-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 CENTRAL AVE",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482514",
            "telephone_number": "716-672-8040",
            "fax_number": "716-672-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUTAUQUA RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "MUNTZ",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-363-6342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NY",
            "license": "185798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000511785003",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01943026",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "5609140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CM1926",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026704302",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01246304",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chautauqua County Chapter of Nysarc Inc.
• Chautauqua County Health Department
• Chautauqua County Home
• Chautauqua Health & Fitness LLC
• Chautauqua Opportunities, Inc.
• Kristina Marie Christopher, FNP
• Terry Lee Christy, RN
• James Joseph Cirbus, MD
• City of Dunkirk
• Steven Clarke

• Diagnostic Neuroimaging (Radiology) Physician in Dunkirk, NY
• Providers in Dunkirk, NY by specialty
• Diagnostic Neuroimaging (Radiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.