NATIONAL P.E.T. SCAN PINELLAS, LLC (NPI# 1639172505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639172505 |
| Entity Type | Organization |
| Organization Name | NATIONAL P.E.T. SCAN PINELLAS, LLC |
| Practice Address |
6600 66th St N Ste B Pinellas Park FL 33781-5040 |
| Mailing Address |
6622 Southpoint Dr S Suite 360 Jacksonville FL 32216-8014 |
| Practice Telephone | 9043588441 |
| Practice Fax Number | 7274712197 |
| Mailing Telephone | 9043588441 |
| Mailing Fax Number | 9043582288 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2012-12-05 |
| Authorized Official Name | MS. MARGIE FAYE AUSTIN (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 9043588441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
HCC5686 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA NON HMO | 7642379 | 01 |
| FL | AETNA HMO | 2918309 | 01 |
| FL | WELLCARE | 202977 | 01 |
| FL | CIGNA | 3540719-001 | 01 |
| FL | TRICARE | 593688943 | 01 |
| FL | HUMANA | 593688943 | 01 |
| FL | BLUE CROSS BLUE SHIELD FL | V2570 | 01 |
| Street Address |
6600 66TH ST N STE B |
| City | PINELLAS PARK |
| State | FL |
| Zip Code | 33781-5040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588045660 | Stephen Joseph Shamp | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2015-06-15 |
| 1558628404 | Wellspring Oncology | Clinic/Center | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2012-04-17 |
| 1336468461 | David A Bloom | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2010-05-28 |
| 1871745513 | Rosario Musella | Neurological Surgery | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2008-10-14 |
| 1881726008 | Zucel Solc | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2007-03-12 |
| 1578532750 | Craig Randall Miercort | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2006-03-17 |
| 1609849231 | Ra Musella Md Facs Pa | Neurological Surgery | 6600 66th St N, Pinellas Park, FL 33781 | 2006-02-13 |
| 1063495968 | Robert J Miller | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2005-11-23 |
| 1376526269 | Frank P Franzese | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554134 | Tanthia Chanel Delgado | Social Worker | Sequel Care of Florida, 3491 Gandy Blvd, Pinellas Park, FL 33781 | 2020-06-26 |
| 1932722139 | Sunrise Retirement Home LLC | Assisted Living Facility | 4201 70th Ave North, Pinellas Park, FL 33781 | 2020-05-21 |
| 1790319119 | Third Phase Medical, LLC Dba Physical Therapy Now, Pinellas Park | Physical Medicine & Rehabilitation | 6661 49th Street North, Pinellas Park, FL 33781 | 2020-02-25 |
| 1275166621 | Michael Palon | Chiropractor | 6615 49th St N, Pinellas Park, FL 33781 | 2020-02-13 |
| 1679080790 | Hyde Psychological Services LLC | Psychologist | 8130 66th St. N, Suite 10, Pinellas Park, FL 33781 | 2018-01-10 |
| 1184135964 | Susan Nmi Washam | Counselor | 3491 Gandy Blvd, Suite 201, Pinelias Park, FL 33781 | 2017-10-19 |
| 1194131730 | Ivan Samcam | Emergency Medicine | 6640 78th Ave N Ste A, Pinellas Park, FL 33781 | 2014-07-03 |
| 1306278809 | Select Medical Products | Durable Medical Equipment & Medical Supplies | 6531 47th Street North, Pinellas Park, FL 33781 | 2013-08-07 |
| 1639515133 | Kabrena Michelle Williams | Behavioral Analyst | 5030 78th Ave N Ste 11, Pinellas Park, FL 33781 | 2013-05-11 |
| 1649614975 | Dennis Alexander Tenenboym | Podiatrist | 7800 66th St N Ste 207, Pinellas Park, FL 33781 | 2013-04-17 |
| Find all providers in zip 33781 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144265638 | Preferred Healthcare Services | Clinic/Center | 6541 44th St, Suite 6001, Pinellas Park, FL 33781-5962 | 2006-06-18 |
| 1932373792 | National P E T Scan Pinellas LLC | Clinic/Center | 6600 66th St, Pinellas Park, FL 33781-5032 | 2008-04-14 |
| 1912952482 | Tampa Bay Imaging LLC | Clinic/Center | 7800 66th St, Suite 106, Pinellas Park, FL 33781-2168 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053223 | Sheridan-pines Mri, LLC | Clinic/Center | 19442 Sheridan Street, Pembroke Pines, FL 33332 | 2020-11-06 |
| 1114535762 | Coral Hills Imaging LLC | Clinic/Center | 9690 W Sample Rd Ste 103, Coral Springs, FL 33065-4031 | 2020-07-20 |
| 1659990364 | Provectus Health LLC | Clinic/Center | 3972 Durksly Dr, Melbourne, FL 32940-1286 | 2020-04-13 |
| 1619500881 | Adventhealth West Florida Imaging, Inc. | Clinic/Center | 305 E Brandon Blvd Ste B, Brandon, FL 33511-5222 | 2020-02-17 |
| 1831736768 | Bria Group Inc | Clinic/Center | 880 Nw 13th St Ste 100, Boca Raton, FL 33486-2342 | 2019-12-10 |
| 1235770686 | Clermont Radiology LLC | Clinic/Center | 18 Ne 1st Ave, Ocala, FL 34470-6658 | 2019-10-07 |
| 1609422146 | Dis of Tampa Bay Inc | Clinic/Center | 3635 W Waters Ave, Tampa, FL 33614-2783 | 2019-08-12 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1417518481 | Ohri, LLC | Clinic/Center | 5151 Winter Garden Vineland Road., Suite 104, Windermere, FL 34786 | 2019-06-21 |
| 1093273971 | Alfa Diagnostic LLC | Clinic/Center | 21355 E Dixie Hwy Ste 107, Aventura, FL 33180-1239 | 2019-03-09 |
| Find all providers with the same taxonomy | ||||
| City | PINELLAS PARK |
| Zip Code | 33781 |
Please comment or provide details below to improve the information on NATIONAL P.E.T. SCAN PINELLAS, LLC.
| 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.