SUNTREE DIAGNOSTIC CENTER (NPI# 1538298344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538298344 |
| Entity Type | Organization |
| Organization Name | SUNTREE DIAGNOSTIC CENTER |
| Other Organization Name | WUESTHOFF X-RAY AND LAB AT BAYTREE |
| Practice Address |
7970 N Wickham Rd Suite A Melbourne FL 32940-7917 |
| Practice Telephone | 3212557711 |
| Practice Fax Number | 3212557734 |
| Mailing Telephone | 3212557711 |
| Mailing Fax Number | 3212557734 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | MR. BILL HINES (VP, HEALTH SERVICES) |
| Authorized Official Telephone | 3212558125 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUNTREE DIAGNOSTIC CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
HCC5631 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 051814000 | 05 |
| Other Name | Type Code |
|---|---|
| Wuesthoff X-ray and Lab at Baytree | Doing Business As Name - Organization |
| Street Address |
7970 N WICKHAM RD SUITE A |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-7917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578538278 | Janet A Anciro | Internal Medicine | 7970 N Wickham Rd, Suite 101, Melbourne, FL 32940-8299 | 2006-02-17 |
| 1740612977 | Neuroskeletal Imaging LLC | Radiology | 7970 N Wickham Rd, Melbourne, FL 32940-8299 | 2013-07-30 |
| 1891012993 | Baytree Medical Associates LLC | Internal Medicine | 7970 N Wickham Rd, Suite 101, Melbourne, FL 32940-8299 | 2010-04-28 |
| 1174792048 | Medfast Family Physicians LLC | Clinic/Center | 7970 N Wickham Rd, Suite #101, Melbourne, FL 32940-8299 | 2008-02-26 |
| 1407067556 | Julie Nicole Chevillet | Orthopaedic Surgery | 7970 N Wickham Rd, Suite 101, Melbourne, FL 32940-8299 | 2007-05-24 |
| 1912036781 | Brevard Hma Diagnostic Imaging LLC | Radiology | 7970 N Wickham Rd, Melbourne, FL 32940-8299 | 2007-03-05 |
| 1851327357 | Francesca Sessa | Physician Assistant | 7970 N Wickham Rd, Emergency Department, Melbourne, FL 32940-8299 | 2006-06-25 |
| 1508816950 | Frances Leone Dilley | Family Medicine | 7970 N Wickham Rd, Suite 101, Melbourne, FL 32940-8299 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| 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 |
|---|---|---|---|---|
| 1225592041 | Central Florida Radiology LLC | Radiology | Standup Mri of Brevrd, 6023 Farcenda Place - Suite 101, Melbourne, FL 32940-7340 | 2019-01-25 |
| 1235365578 | Chad Phillip Berlin | Radiology | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2009-06-01 |
| 1750522678 | David Raymond Autry | Radiology | 3830 S Hwy A1a # 4-160, Melbourne, FL 32951-3143 | 2009-03-24 |
| 1487851812 | Temoor Sajjad Anwar | Radiology | 765 W Nasa Blvd, Melbourne, FL 32901-1815 | 2007-06-29 |
| 1760694285 | Michael Wayne Chen | Radiology | 1350 Hickory Street, Melbourne, FL 32901-3224 | 2007-05-04 |
| 1710902812 | Alan K Marumoto | Radiology | 1800 W. Hibiscus Blvd, Suite 100, Melbourne, FL 32901-2629 | 2006-07-12 |
| 1033165865 | David Samuel Epstein | Radiology | 1775 W Hibiscus Blvd, Ste 215, Melbourne, FL 32901-2620 | 2006-05-25 |
| 1366419384 | Brian H Breslaw | Radiology | 1350 South Hickory Street, Holmes Regional Medical Center/radiology, Melbourne, FL 32901-3278 | 2006-03-08 |
| 1437147311 | Harbor City Medical Imaging Pa | Radiology | 1920 S Babcock St, Melbourne, FL 32901-4445 | 2005-10-13 |
| 1275521163 | Thomas R Foster | Radiology | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1938 | 2005-10-13 |
| Find all providers in MELBOURNE | ||||
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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.