Active NPI
Sra Medical Imaging LLC
- Diagnostic Radiology Physician
- Buffalo, NY
National Provider Identifier
1881920452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SRA MEDICAL IMAGING LLC
- Practice address
- 2157 Main St
Buffalo, NY 14214-2648 - Phone
- (716) 862-1000
- NPI assigned
- Nov 2, 2009
- 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
- Edie Haier
- Title
- Billing Manager
- Phone
- (316) 650-9030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
2157 Main St
Buffalo, NY 14214-2648
Mailing address
PO Box 247
Albany, NY 12201-0247
Phone (316) 650-9030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL, ME, VT, VA, WV, CO, CA, AZ, DC, TX, PA, IL, PR, WI, HI, NJ, CT, MA, NC
Enrollment records 20
National Provider Directory
National Provider DirectoryLocations
3972 Barranca Pkwy
#J408
Irvine, CA 92606
2914 Elmwood Ave
Kenmore, NY 14217
Phone (716) 447-6310
27 Frost Ln
Lawrence, NY 11559
Phone (516) 295-1176
6932 Williams Rd
Niagara Falls, NY 14304
Phone (716) 298-1635
Practitioners & affiliated clinicians
Practitioners 79
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Bethpage, NY
- NPI 1922070457
-
- Diagnostic Radiology Physician
- Binghamton, NY
- NPI 1013409531
-
- Diagnostic Radiology Physician
- Buffalo, NY
- NPI 1336113596
-
- Diagnostic Radiology Physician
- Amherst, NY
- NPI 1285852566
-
- Vascular & Interventional Radiology Physician
- Poughkeepsie, NY
- NPI 1023403318
Diagnostic Radiology
-
- Nurse Practitioner
- Buffalo, NY
- NPI 1699341446
-
- Diagnostic Radiology Physician
- Buffalo, NY
- NPI 1063624468
-
- Diagnostic Radiology Physician
- Albertson, NY
- NPI 1932343076
-
- Diagnostic Radiology Physician
- Buffalo, NY
- NPI 1962417394
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1831400498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558483200000",
"number": "1881920452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247",
"city": "ALBANY",
"state": "NY",
"postal_code": "122010247",
"telephone_number": "316-650-9030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2157 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142648",
"telephone_number": "716-862-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SRA MEDICAL IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-02",
"last_updated": "2019-05-22",
"status": "A",
"authorized_official_last_name": "HAIER",
"authorized_official_first_name": "EDIE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "316-650-9030"
},
"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 Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.