NORTHSIDE IMAGING, LLC (NPI# 1063594679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063594679 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE IMAGING, LLC |
| Other Organization Name | BAYONET POINT IMAGING |
| Practice Address |
14108 Glacier Drive Hudson FL 34667 |
| Mailing Address |
14108 Glacier Dr Hudson FL 34667-8595 |
| Practice Telephone | 7278614490 |
| Practice Fax Number | 7278614491 |
| Mailing Telephone | 7278614490 |
| Mailing Fax Number | 7278614491 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT SAMUEL HANKINS JR. (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 6153442274 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bayonet Point Imaging | Doing Business As Name - Organization |
| Street Address |
14108 GLACIER DRIVE |
| City | HUDSON |
| State | FL |
| Zip Code | 34667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| 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 |
|---|---|---|---|---|
| 1457905002 | Tower Imaging LLC | Radiology | 7525 State Road 52, Hudson, FL 34667-6716 | 2019-07-31 |
| 1700077617 | James Samuel Reef | Radiology | 5970 Eastham Way, Hudson, OH 44236-3962 | 2007-08-06 |
| 1932193711 | West Hernando Diagnostic & Mr Center | Radiology | 7615 Jacque Rd, Hudson, FL 34667-7132 | 2005-09-07 |
| 1578566972 | Laura J Hanahan | Radiology | 5655 Hudson Dr Ste 210, Hudson, OH 44236-4455 | 2005-05-31 |
| 1629449699 | Aris Radiology Professional of New York Pa | Radiology | 5655 Hudson Dr, Suite 210, Hudson, OH 44236-4451 | 2015-10-15 |
| 1497072185 | University Hospitals Medical Group, Inc | Radiology | 5778 Darrow Rd, Suite 103, Hudson, OH 44236-3808 | 2010-04-21 |
| 1952626244 | Sunny Christopher Rhee | Radiology | 5655 Hudson Dr, Suite 210, Hudson, OH 44236-4451 | 2010-03-30 |
| 1871816694 | Michael David Berven | Radiology | 5655 Hudson Dr Ste 210, Aris Radiology, Hudson, OH 44236-4455 | 2010-03-08 |
| 1225263767 | Pin Point Radiology Practice Group, Pa | Radiology | 5655 Hudson Drive, Suite 210, Hudson, OH 44236 | 2009-05-28 |
| 1952546905 | Aris Teleradiology Professional Corporation | Radiology | 5655 Hudson Dr, Suite 210, Hudson, OH 44236-4451 | 2008-12-04 |
| Find all providers in HUDSON | ||||
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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.