MANATEE DIAGNOSTIC CENTER,LTD (NPI# 1235406646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235406646 |
| Entity Type | Organization |
| Organization Name | MANATEE DIAGNOSTIC CENTER,LTD |
| Practice Address |
2301 60th Street Court West Suite C Bradenton FL 34209 |
| Mailing Address |
2301 60th Street Court West Suite C Bradenton FL 34208 |
| Practice Telephone | 9417473034 |
| Practice Fax Number | 9417485819 |
| Mailing Telephone | 9417473034 |
| Mailing Fax Number | 9417485819 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | DAVID W GRAHAM (EXECTIVE DIRECTOR/CFO) |
| Authorized Official Telephone | 9417473034 |
| Is Organization Subpart | Y |
| Parent Organization Name | MANATEE DIAGNOSTIC CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME6540 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 48245500 | 05 |
| Street Address |
2301 60TH STREET COURT WEST SUITE C |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| 1629287420 | Summerville At Golden Pond, LLC | Assisted Living Facility | 450 67th Street North, Bradenton, FL 34209 | 2007-05-21 |
| Find all providers in zip 34209 | ||||
| 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 |
|---|---|---|---|---|
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235421645 | Robert Howes Montgomery | Radiology | 9447 Discovery Ter, #202, Bradenton, FL 34212-5113 | 2011-05-04 |
| 1629130141 | James Chatham Jr. | Radiology | 8012 1st Ave W, Bradenton, FL 34209-2113 | 2006-12-14 |
| 1689745382 | Blake Imaging LLC | Radiology | 2010 59th Street West, Stuie 1500, Bradenton, FL 34209 | 2006-11-13 |
| 1841388477 | Joseph Daniel Oliveira | Radiology | 6162 9th Ave. Circle Ne, Bradenton, FL 34212 | 2006-10-10 |
| 1083621783 | Denis M Cavanagh | Radiology | 300 Riverside Drive E, Suite 4300, Bradenton, FL 34208 | 2006-08-02 |
| 1316985658 | Bowes Imaging Center LLC. | Radiology | 6207 Cortez Rd W, Bradenton, FL 34210-2602 | 2006-06-02 |
| 1407894744 | Axcess Diagnostics Bradenton LLC | Radiology | 5101 4th Avenue Cir E, Suite 100, Bradenton, FL 34208-5630 | 2006-06-02 |
| 1770535809 | Stoutamyer Stratos Schroeder Whaley & Rizzo Mds Pa | Radiology | 2020 59th St West, Blake Medical Center, Bradenton, FL 34209 | 2006-05-17 |
| 1528010816 | Milton S Stratos | Radiology | 2020 59th Street West, Blake Medical Center, Bradenton, FL 34209 | 2006-05-16 |
| Find all providers in BRADENTON | ||||
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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.