SOUTHERN TIER IMAGING – NPI #1760447692
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
SOUTHERN TIER IMAGING is a radiologist located in JOHNSON CITY, NY. NPPES has assigned the NPI number 1760447692 to SOUTHERN TIER IMAGING on April 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHERN TIER IMAGING” is a dba name, the actual legal business name for this organization is PARK AVENUE ASSOCIATES IN RADIOLOGY PC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology
The NPI profile was previously updated about 6 years ago on Mar 09, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN TIER IMAGING below.
NPI Profile for
PARK AVENUE ASSOCIATES IN RADIOLOGY PC
(more than 20 years ago)
JOHNSON CITY, NY 13790-2122 Phone: (607) 763-6104 Fax:
CANAJOHARIE, NY 13317-0023 Phone: (315) 362-5285 Fax:
PRESIDENT
Phone: (607) 729-2125
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for SOUTHERN TIER IMAGING
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | NY | 00553397 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2085R0202X - Radiology / Diagnostic Radiology (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.