NORTHSIDE IMAGING LLC


Address: 6006 49th St N, Ste 140, St Petersburg, FL 33709-2148
Phone: 7275285900

NORTHSIDE IMAGING LLC (NPI# 1063402279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063402279
Entity Type Organization
Organization Name NORTHSIDE IMAGING LLC
Other Organization Name NORTHSIDE IMAGING CENTER
Practice Address 6006 49th St N
Ste 140
St Petersburg
FL 33709-2148
Practice Telephone 7275285900
Practice Fax Number 7275285911
Mailing Telephone 7275285900
Mailing Fax Number 7275285911
Enumeration Date 2005-10-27
Last Update Date 2007-08-28
Authorized Official Name MR. LAVELLE HARDIN (CREDENTIALING COORDINATOR)
Authorized Official Telephone 6153448203
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Northside Imaging Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669829214 Northside Imaging LLC Radiology 845 Prince Ave, Athens, GA 30606-2723 2016-05-24
1699122291 Northside Imaging LLC Radiology 638 441 Historic Hwy N, Suite D, Demorest, GA 30535-4574 2016-05-24
1316394976 Northside Imaging LLC Radiology 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 2016-05-24
1740351477 Northside Imaging LLC Radiology 6006 49th Street North, Suite 140, St Petersburg, FL 33709 2006-11-13

Office Location

Street Address 6006 49TH ST N
STE 140
City ST PETERSBURG
State FL
Zip Code 33709-2148

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821093220 Cardiac Surgical Associates LLP Thoracic Surgery (Cardiothoracic Vascular Surgery) 6006 49th St N, Ste 310, St Petersburg, FL 33709-2149 2005-06-14
1093358244 Silverrock Health Case Management 6006 49th St N, St Petersburg, FL 33709-2148 2019-10-21
1508245911 Joshua Leek Physician Assistant 6006 49th St N, Suite 310, St Petersburg, FL 33709-2148 2015-05-19
1124469770 Complete Primary Care Inc Internal Medicine 6006 49th St N, Suite 120, St Petersburg, FL 33709-2148 2013-07-11
1992959399 Jonathan S Hall Md Pa Neurological Surgery 6006 49th St N, Suite 330, St Petersburg, FL 33709-2148 2008-11-12
1215184619 Judith Ann Moran Nurse Practitioner 6006 49th St N, Suite 340, St Petersburg, FL 33709-2148 2008-08-27
1215198619 Nabeel Memon Internal Medicine 6006 49th St N, Suite 200, St Petersburg, FL 33709-2148 2008-06-19
1841467149 Muriel Elias Herring Physician Assistant 6006 49th St N, Suite 310, St Petersburg, FL 33709-2148 2008-05-15
1548471642 Jeanette Dawn Lilly Physical Therapist 6006 49th St N, Suite 240, St Petersburg, FL 33709-2148 2007-05-24
1275749368 Beth Ann Bazer Hudson Occupational Therapist 6006 49th St N, St Petersburg, FL 33709-2148 2007-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770110637 Mylien Le Registered Nurse 6001 49th Street North, St Petersburg, FL 33709 2020-03-23
1457885063 Kamlesh Rajani Pharmacist 5985-b 49th Street North, Saint Petersburg, FL 33709 2017-04-20
1417382912 Farhan Hooda Internal Medicine The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 2013-09-04
1558702605 Walgreens Clinic/Center 3994 Tyrone Blvd, Saint Petersburg, FL 33709 2013-07-17
1437417607 Jeri Devale Social Worker 6241 43rd Ter N, Kenneth City, FL 33709 2012-04-25
1528340643 Steven E. Allbritton Pharmacist 5405 66th Street N., Saint Petersburg, FL 33709 2011-09-14
1043537335 Milan Ravindra Patel Internal Medicine 3901 66th St N Ste 201, St Petersburg, FL 33709 2010-04-26
1134454713 Eye Designs Optical and Vision Care, LLC Optometrist 3831 Tyrone Boulevard, St. Petersburg, FL 33709 2009-10-15
1487827069 Jose Manuel Garcia Dentist 4911 Park Street North, St Petersburg, FL 33709 2008-04-04
1104097427 Stanley D Grimmel Chiropractor 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 2008-03-13
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871919613 Sheridan Radiology Services of Central Florida, Inc. Radiology 960 Monterey Pt Ne, St Petersburg, FL 33704-2319 2014-03-17
1750717500 Sheridan Radiology Services of Central Florida, Inc. Radiology 131 Cordova Blvd Ne, St Petersburg, FL 33704-3011 2013-09-24
1407280126 Sheridan Radiology Services of Central Florida, Inc. Radiology 117 Bay Point Dr Ne, St Petersburg, FL 33704-3805 2013-08-29
1265871917 Sheridan Radiology Services of Central Florida, Inc. Radiology 1297 Eden Isle Dr Ne, St Petersburg, FL 33704-1709 2013-06-17
1558502039 Nasser Razack., M.d., Pa. Radiology 5338 - 1st Avenue North, St Petersburg, FL 33710 2009-03-13
1215095401 John D. Bartone Radiology 200 2nd Ave S, #504, St Petersburg, FL 33701-4313 2006-12-04
1013008713 Richard A. Leverone Radiology 5136 Central Ave, St Petersburg, FL 33707 2006-09-27
1225141328 Nasser Razack Radiology 335 31st Street South, St Petersburg, FL 33712-1419 2006-08-16
1477586014 George Philip Ciporkin Radiology 475 2nd St N, Unit # 701, St Petersburg, FL 33701-3029 2006-07-08
1376585596 Lori Keith Taylor Radiology 332 Belleair Dr Ne, St Petersburg, FL 33704-2437 2006-06-12
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Competitor

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City ST PETERSBURG
Zip Code 33709

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Dataset Information

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.

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