Northwest Diagnostic Imaging, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

NORTHWEST DIAGNOSTIC IMAGING, INC

Doing business as

Brunswick Diagnostic Imaging, LLC

Practice address

1111 Glynco Pkwy
Brunswick, GA 31525-7921

Phone

(912) 261-8890

Fax

(912) 261-0342

NPI assigned

Nov 8, 2005

Last updated

May 20, 2008By 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

Mr. Daniel J Schaefer

Title

Coo

Phone

(770) 300-0101

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Brunswick Diagnostic Imaging, LLC Doing business as

Locations

Practitioners 5

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.

• William Cottrell Lang Jr., M.D.

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1346231925
  NPD (past)
• Rick Darr McKeown, M.D.

  • Specialist
  • Atlanta, GA
  • NPI 1083672216
  NPD (past)
• Michael Spencer Zinsmeister, MD

  • Diagnostic Radiology Physician
  • Macon, GA
  • NPI 1811987704
  NPD (past)
• Eric C Lund, MD

  • Diagnostic Radiology Physician
  • Dothan, AL
  • NPI 1003899659
  NPD (past)
• Hilda E Stambuk, MD

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1073593182
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1922089713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932391",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932391",
            "telephone_number": "678-393-5600",
            "fax_number": "770-300-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257921",
            "telephone_number": "912-261-8890",
            "fax_number": "912-261-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DIAGNOSTIC IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-300-0101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA0357",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "22687081",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA0798",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH7801",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brunswick Diagnostic Imaging, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brent H Nichols, LPC
• Jennifer Lynn Nicholson, RD, LD/N, MSH
• Caroline Strickland Norris, CAA
• Samuel Thomas Norris Jr., DMD
• Northland Hearing Center, Inc.
• Tekisha Mitchell Norwood, LCSW
• Nourished Roots Consulting, LLC
• Nutrisource Nutritional Services
• Sarah Elizabeth O'Neal, RN
• Leigh Willingham O'Quinn, FNP-C

• Diagnostic Radiology Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.