Active NPI
Valcour Imaging LLC
- Radiology Clinic/Center
- Plattsburgh, NY
National Provider Identifier
1962455006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- 0901204R
- Legal business name
- VALCOUR IMAGING LLC
- Practice address
- 16 Degrandpre Way
Plattsburgh, NY 12901-6451 - Phone
- (518) 563-1900
- Fax
- (518) 563-2600
- NPI assigned
- May 18, 2006
- 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
- Dr. Wolodymyr I Bula, MD
- Title
- Managing Partner
- Phone
- (518) 563-1900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | 0901204R | NY | Primary |
Addresses
Primary practice location
16 Degrandpre Way
Plattsburgh, NY 12901-6451
Mailing address
16 Degrandpre Way
Plattsburgh, NY 12901-6451
Phone (518) 563-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00281925 | Other | NY | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
Member Of
Locations
16 Degrandpre Way
Plattsburgh, NY 12901
Phone (518) 561-8256
16 Degrandpre Way
Ste 400
Plattsburgh, NY 12901
Phone (518) 563-1900
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Plattsburgh, NY
- NPI 1720045305
-
- Diagnostic Radiology Physician
- Plattsburgh, NY
- NPI 1619934148
-
- Diagnostic Radiology Physician
- Plattsburgh, NY
- NPI 1336106046
-
- Diagnostic Radiology Physician
- Plattsburgh, NY
- NPI 1528051000
-
- Vascular & Interventional Radiology Physician
- Irvine, CA
- NPI 1801231576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192406400000",
"number": "1962455006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 DEGRANDPRE WAY",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129016451",
"telephone_number": "518-563-1900",
"fax_number": "518-563-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 DEGRANDPRE WAY",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129016451",
"telephone_number": "518-563-1900",
"fax_number": "518-563-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALCOUR IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2007-10-15",
"status": "A",
"authorized_official_last_name": "BULA",
"authorized_official_first_name": "WOLODYMYR",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "518-563-1900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "NY",
"license": "0901204R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00281925",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.