LAKEWOOD RANCH IMAGING CENTER (NPI# 1104839737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104839737 |
| Entity Type | Organization |
| Organization Name | LAKEWOOD RANCH IMAGING CENTER |
| Practice Address |
8330 Lakewood Ranch Blvd Bradenton FL 34202-5174 |
| Mailing Address |
Po Box 409956 Atlanta GA 30384-9956 |
| Practice Telephone | 9417823050 |
| Mailing Telephone | 9417823050 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-08-17 |
| Authorized Official Name | MS. DIANE BYNUM (DIRECTOR) |
| Authorized Official Telephone | 9417823050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| Street Address |
8330 LAKEWOOD RANCH BLVD |
| City | BRADENTON |
| State | FL |
| Zip Code | 34202-5174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730179714 | Lakewood Ranch Medical Center | General Acute Care Hospital | 8330 Lakewood Ranch Blvd, Bradenton, FL 34202-5174 | 2005-10-21 |
| 1073765855 | Carmen A Coiscou Md Pa | Hospitalist | 8330 Lakewood Ranch Blvd, Suite 320, Bradenton, FL 34202-5174 | 2008-10-11 |
| 1760547145 | Derrel Corvette Hooker | Nurse Anesthetist, Certified Registered | 8330 Lakewood Ranch Blvd, Bradenton, FL 34202-5174 | 2006-12-26 |
| 1801835947 | Grant Ernest Fraser | Emergency Medicine | 8330 Lakewood Ranch Blvd, Bradenton, FL 34202-5174 | 2006-06-05 |
| 1215976378 | Mitchell Frederick Hall | Emergency Medicine | 8330 Lakewood Ranch Blvd, Bradenton, FL 34202-5174 | 2006-06-05 |
| 1407802473 | Teresa W Rawe | Emergency Medicine | 8330 Lakewood Ranch Blvd, Bradenton, FL 34202-5174 | 2006-05-25 |
| 1548212038 | Elam Amos Beiler | Nurse Anesthetist, Certified Registered | 8330 Lakewood Ranch Blvd, Bradenton, FL 34202 | 2006-05-16 |
| 1396707949 | Mark Lee Rosenthal | Anesthesiology | 8330 Lakewood Ranch Blvd, Bradenton, FL 34202 | 2006-04-06 |
| 1316909955 | John Vincent Vilasi | Anesthesiology | 8330 Lakewood Ranch Blvd, Bradenton, FL 34202 | 2006-04-06 |
| 1942262357 | Marilynn Amspacher | Nurse Anesthetist, Certified Registered | 8330 Lakewood Ranch Blvd, Bradenton, FL 34202-5174 | 2006-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1982220158 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 14605 Sr 70, Bradenton, FL 34202 | 2020-06-23 |
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1528617651 | Bass Partners LLC | Behavioral Analyst | 20818 Parkstone Terrace, Lakewood Ranch, FL 34202 | 2019-09-11 |
| 1861049090 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11521 Sr 70 East, Bradenton, FL 34202 | 2019-08-22 |
| 1205496171 | Bryan J Morgan Lwr Pa | Dentist | 11157 Sr70 E, Lakewood Ranch, FL 34202 | 2019-06-13 |
| 1023677358 | Taneshia Mcclendon | Nurse Practitioner | 6310 Health Park Way Ste 100, Lakewood Ranch, FL 34202 | 2019-06-11 |
| 1497231542 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 7325 University Pkwy, Lakewood Ranch, FL 34202 | 2018-07-12 |
| 1790273159 | Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll | Dentist | 11649 Sr 70 East, Suite 109, Bradenton, FL 34202 | 2018-05-01 |
| Find all providers in zip 34202 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033744925 | Florida Radiology Imaging At Lake Mary, LLC | Radiology | 1480 W Orange Blossom Trl, Apopka, FL 32712-2637 | 2020-03-11 |
| 1194298851 | Ernst Merceron | Radiology | 4649 Caverns Dr, Kissimmee, FL 34758-2504 | 2019-01-05 |
| 1548748098 | James Joseph Paul | Radiology | 11001 Gulf Reflections Dr, Fort Myers, FL 33908-8511 | 2018-08-06 |
| 1740776723 | Cor Imaging Center Inc | Radiology | 5423 N State Road 7, Tamarac, FL 33319-2921 | 2018-07-02 |
| 1407221096 | Total Diagnostic Solutions LLC | Radiology | 1225 Nw 40th Ave # 2a, Lauderhill, FL 33313-5801 | 2015-12-08 |
| 1891160487 | Total Diagnostic Solutions LLC | Radiology | 15105 Nw 77th Ave # 1a, Miami Lakes, FL 33014-7803 | 2015-12-08 |
| 1720453319 | Total Diagnostic Solutions LLC | Radiology | 8010 W Colonial Dr Ste 162, Orlando, FL 32818-6106 | 2015-12-08 |
| 1013381656 | Sandra Ramos Schneider | Radiology | 4300 S Us Highway 1, Suite 203-293, Jupiter, FL 33477-1198 | 2015-11-19 |
| 1992129324 | East Central Florida Outpatient Imaging, LLC | Radiology | 2090 Saxon Blvd, Suite A, Deltona, FL 32725-3251 | 2014-02-05 |
| 1386985190 | Holy Cross Hospital, Inc. | Radiology | 1115 S. Federal Highway, Fort Lauderdale, FL 33316 | 2013-03-05 |
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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.