BEACHES OPEN MRI OF THE TREASURE COAST, LLC (NPI# 1053427005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053427005 |
| Entity Type | Organization |
| Organization Name | BEACHES OPEN MRI OF THE TREASURE COAST, LLC |
| Other Organization Name | BEACHES MRI |
| Practice Address |
1615 Nw Federal Hwy Stuart FL 34994 |
| Practice Telephone | 7728785858 |
| Practice Fax Number | 7726922480 |
| Mailing Telephone | 7728785858 |
| Mailing Fax Number | 7726922480 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2011-11-04 |
| Authorized Official Name | ANDREW T WALKER (OFFICER) |
| Authorized Official Telephone | 7728785858 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265438500 | 05 | |
| FL | BCBS | U2628 | 01 |
| Other Name | Type Code |
|---|---|
| Beaches MRI | Doing Business As Name - Organization |
| Street Address |
1615 NW FEDERAL HWY |
| City | STUART |
| State | FL |
| Zip Code | 34994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932326345 | Henry R. Zayas | Specialist | 1615 Nw Federal Hwy, Stuart, FL 34994-9629 | 2007-04-19 |
| 1417174830 | Juan C. Pelaez | Specialist | 1615 Nw Federal Hwy, Stuart, FL 34994-9629 | 2007-04-19 |
| 1932233384 | Andrew T. Walker | Specialist | 1615 Nw Federal Hwy, Stuart, FL 34994-9629 | 2007-03-16 |
| 1194859454 | Andrew S. Gallant | Specialist | 1615 Nw Federal Hwy, Stuart, FL 34994-9629 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114250453 | Florida Radiology Specialists, P.l. | Radiology | 3301 Eventide Pl, Stuart, FL 34994-9143 | 2009-09-17 |
| 1164490769 | Todd Richard Schroeder | Radiology | 300 Hospital Avenue, Stuart, FL 34994 | 2006-03-09 |
| 1598738924 | John Patrick Shoosmith | Radiology | 1596 Se Federal Hwy, Stuart, FL 34994-3908 | 2006-02-08 |
| 1255301354 | Diagnostic Imaging Services Inc | Radiology | 300 Se Hospital Ave, Stuart, FL 34994-2338 | 2006-01-23 |
| 1952383390 | Maria R Beltran | Radiology | 1343 Nw Coconut Point Ln, Stuart, FL 34994-9485 | 2005-11-18 |
| 1245482918 | Frg Virginia PC | Radiology | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-10-14 |
| 1811151996 | Stephen Russell Patten | Radiology | 300 Se Hospital Ave, Stuart, FL 34994-2338 | 2008-07-17 |
| 1376705665 | Todd Horkins | Radiology | 300 Se Hospital Ave, Stuart, FL 34994-2338 | 2008-06-27 |
| 1114187457 | Frank Nicholas Garcia | Radiology | 300 Se Hospital Ave, Stuart, FL 34994-2338 | 2008-06-10 |
| 1033307137 | Christopher Brian Bailey | Radiology | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2007-10-15 |
| Find all providers in STUART | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.