ASCENT DIAGNOSTIC IMAGING OF JACKSONVILLE LLC


Address: 5210 Belfort Rd, Ste 130, Jacksonville, FL 32256-6024
Phone: 9044704000

ASCENT DIAGNOSTIC IMAGING OF JACKSONVILLE LLC (NPI# 1538333117) 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) 1538333117
Entity Type Organization
Organization Name ASCENT DIAGNOSTIC IMAGING OF JACKSONVILLE LLC
Practice Address 5210 Belfort Rd
Ste 130
Jacksonville
FL 32256-6024
Practice Telephone 9044704000
Mailing Telephone 9044704000
Enumeration Date 2008-04-15
Last Update Date 2008-06-03
Authorized Official Name MICHAEL FAGIEN (COO)
Authorized Official Telephone 8134961075
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085B0100X Radiology
Specialization: Body Imaging
ME59548 FL Allopathic & Osteopathic Physicians
N 2085D0003X Radiology
Specialization: Diagnostic Neuroimaging
ME59548 FL Allopathic & Osteopathic Physicians
N 2085N0700X Radiology
Specialization: Neuroradiology
ME59548 FL Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
ME59548 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 5210 BELFORT RD
STE 130
City JACKSONVILLE
State FL
Zip Code 32256-6024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619909686 Eiber Radiology Inc Radiology 5210 Belfort Rd, Suite 130, Jacksonville, FL 32256-6024 2006-07-07
1912442260 Susan Ann Oliver Counselor 5210 Belfort Rd, Suite 200, Jacksonville, FL 32256-6024 2016-12-22
1548715717 The Cataract Vision Institute LLC Clinic/Center 5210 Belfort Rd, Suite 110, Jacksonville, FL 32256-6024 2016-08-17
1053798041 Vondarius Lane Social Worker 5210 Belfort Rd, Jacksonville, FL 32256 2015-04-29
1083968028 Southern Surgical Specialties LLC Surgery 5210 Belfort Rd, Suite 130, Jacksonville, FL 32256-6024 2012-10-30
1174881486 The Lasik Vision Institute, LLC Clinic/Center 5210 Belfort Rd, Suite 110, Jacksonville, FL 32256-6024 2012-04-25
1467512764 Pulmonary and Critical Care Associates Pa Internal Medicine 5210 Belfort Rd, Suite 130, Jacksonville, FL 32256-6024 2006-12-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841890464 Alice Sanchez Dietitian, Registered 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 2020-11-01
1093327702 Oaktree Dental LLC Clinic/Center 14595 Philips Highway, Jacksonville, FL 32256 2020-08-24
1538787866 Tywanna Council Massage Therapist 4720 Salisbury Road #102, Jacksonville, FL 32256 2020-07-13
1275155368 Christy Orellana Social Worker 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 2020-05-11
1376175117 Diane Stover Case Manager/Care Coordinator 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 2020-02-10
1982235859 Sandra Josefina Baez Nunez Nurse Practitioner 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 2020-01-30
1205476496 Point Meadows Dental Center, Inc. Dentist 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 2020-01-15
1598324113 Dhaval Yogeshkumar Shah Dentist 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 2019-06-07
1003472499 Dade Medical, Inc. Durable Medical Equipment & Medical Supplies 9143 Philips Highway Suite 270, Jacksonville, FL 32256 2019-05-13
1003479726 Nichole Bashara Behavior Technician 8383 Baymeadows Rd, Jacksonville, FL 32256 2019-04-18
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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
1316596471 Summerlin Imaging Center LLC Radiology 3550 University Blvd S Ste 102, Jacksonville, FL 32216-4227 2019-09-10
1275038671 William Austin Forshee Radiology 655 W 8th St Fl 2, Jacksonville, FL 32209-6511 2018-03-27
1316449267 F&s Radiology, P.C. Radiology 10045 Richton Ct, Jacksonville, FL 32246-1885 2018-03-07
1679025522 Diagnostic Imaging Partners Radiology 2000 Brabham Avenue, Suite 110, Jacksonville, NC 28546 2016-10-26
1689052359 Coastal Vein & Vascular Institute, LLC Radiology 7741 Point Meadows Dr, Unit 104-106, Jacksonville, FL 32256-9182 2015-05-13
1316385024 Matthew Hal Jenson Radiology 655 W 8th St # C-90, Jacksonville, FL 32209-6511 2013-06-05
1740557917 Rmed LLC Radiology 4348 Southpoint Blvd., Suite 100c, Jacksonville, FL 32216-0903 2011-11-16
1952618324 Edgardo Alberto Agrait-bertran Radiology 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 2010-09-08
1477788982 David A Walker Md Pa Radiology 8040 Woodpecker Trl, Jacksonville, FL 32256-7333 2009-05-28
1245465343 Kyle Hayden Radiology 1303 Greenridge Rd, Jacksonville, FL 32207-5334 2009-05-19
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City JACKSONVILLE
Zip Code 32256

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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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