Seton Imaging Radiology PLLC
Organization Active NPI Diagnostic Radiology Physician · Buffalo, NY
NPI 1891893053 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1891893053
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- SETON IMAGING RADIOLOGY PLLC
- Practice address
- 3730 Sheridan Dr
Buffalo, NY 14226-1732 - Phone
- (716) 633-8675
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Scott P Cholewinski, MD
- Title
- Authorized Official
- Phone
- (716) 633-8675
Practitioners 25
-
Inbal Cohen, MD
-
Frank M. Fayz, M.D.
-
Michelle Debra Rossmann, M.D.
-
Vikas Datta, M.D.
-
Grant Golden, MD
-
Shi-Yu Zhang Chen, M.D.
-
Mitchell Chess, M.D.
-
Jayant Kale, MD
-
Paul F Pizzella, MD
-
Jennifer K. Ray, MD
-
John Michael Reiser, M.D.
-
Eugene Chlosta, MD
-
Allen Campbell Johnson, M.D.
-
Asha Kavali, M.D.
-
Michael Albert Nixon, M.D.
-
Kevin S Shea, MD
-
Marc A Wallace, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in NY, FL, MI, MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000302 | NY | Part B Supplier - Clinic/Group Practice | 7315851110 |
Receives reassigned benefits from 6 practitioners Practice locations: North Tonawanda, NY; Amherst, NY |
| O20210412001363 | FL | Part B Supplier - Clinic/Group Practice | 7315851110 |
Receives reassigned benefits from 2 practitioners Practice locations: Saint Johns, FL; Winter Park, FL |
| O20210428001321 | MI | Part B Supplier - Clinic/Group Practice | 7315851110 |
Receives reassigned benefits from 2 practitioners Practice locations: Dearborn, MI |
| O20240122002270 | MA | Part B Supplier - Clinic/Group Practice | 7315851110 |
Receives reassigned benefits from 1 practitioner Practice locations: Southborough, MA |
National Provider Directory
Locations
3799 Commerce Ct
North Tonawanda, NY 14120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
3730 Sheridan Dr
Buffalo, NY 14226-1732
Mailing address
3730 Sheridan Dr
Buffalo, NY 14226-1732
Phone (716) 633-8675
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02644622 | Medicaid | NY |
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All providers in Buffalo, NY · Diagnostic Radiology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.