COMANCHE COUNTY HOSPITAL AUTHORITY SOUTHWEST RADIOLOGY


Address: 11447 Dutch Iris Dr, Riverview, FL 33578-3728
Phone: 5805852717

COMANCHE COUNTY HOSPITAL AUTHORITY SOUTHWEST RADIOLOGY (NPI# 1710120258) 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) 1710120258
Entity Type Organization
Organization Name COMANCHE COUNTY HOSPITAL AUTHORITY SOUTHWEST RADIOLOGY
Practice Address 11447 Dutch Iris Dr
Riverview
FL 33578-3728
Mailing Address Po Box 2309
Lawton
OK 73502-2309
Practice Telephone 5805852717
Mailing Telephone 8009452455
Enumeration Date 2009-04-14
Last Update Date 2013-06-07
Authorized Official Name DAVID BLACKMON (CFO)
Authorized Official Telephone 5803558699
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
115285 FL Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497998934 Comanche County Hospital Authority Southwest Radiology Radiology 101 Babbs Holw, Greenville, SC 29607-3745 2009-04-14
1962645408 Comanche County Hospital Authority Southwest Radiology Radiology 522 Detroit St, Denver, CO 80206-4314 2009-04-14
1194996447 Comanche County Hospital Authority Southwest Radiology Radiology 3401 W Gore Blvd, Lawton, OK 73505-6332 2008-03-14

Office Location

Street Address 11447 DUTCH IRIS DR
City RIVERVIEW
State FL
Zip Code 33578-3728

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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
1386087278 Tower Imaging Inc Radiology 10621 Big Bend Rd, Riverview, FL 33579-7176 2013-04-10
1487640405 Andrew K Greenfield Radiology 12310 Bramfield Dr, Riverview, FL 33579-7768 2005-09-26
1164858684 Radiology Associates of Tampa Pa Radiology 13111 Us Highway 301 S, Careplus Walk In Clinic, Riverview, FL 33578-7401 2013-09-16
1760821599 St Joseph's Diagnostic Center LLC Radiology 10141 Big Bend Rd, Riverview, FL 33578-7419 2013-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1093325987 Flagler Professional Health Care Services Inc. Radiology 351 Town Plaza Avenue, 101, Ponte Vedra, FL 32081 2020-08-05
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1790301661 Clearview Diagnostic Radiology 8076 S Orange Blossom Trl, Orlando, FL 32809-7670 2020-06-17
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1366067712 Baycare Outpatient Imaging LLC Radiology 711 S Dale Mabry Hwy, Tampa, FL 33609-4445 2020-06-11
1982225009 Radiology and Nuclear Medicine Services LLC Radiology 1020 Nw 94th Ter, Plantation, FL 33322-4816 2020-04-29
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City RIVERVIEW
Zip Code 33578

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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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