NPI 1366619637 · live from the CMS NPI Registry
Jonathan R Cogley, MD
Radiology, Diagnostic Radiology in Springfield, MA. National Provider Identifier 1366619637, active.
NPI record
| NPI | 1366619637 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | Baystate Medical Ctr, 759 Chestnut Street, Springfield, MA 01199 |
| Practice phone | 413-794-0884 |
| Mailing address | 6116 Bigelow Commons, Enfield, CT 06082 |
| Enumerated | May 14, 2008 |
| Last updated | April 27, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 036130163 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.