STAND-UP MRI & DIAGNOSTIC CENTER, PA (NPI# 1720053515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720053515 |
| Entity Type | Organization |
| Organization Name | STAND-UP MRI & DIAGNOSTIC CENTER, PA |
| Practice Address |
555 W Granada Blvd Ormond Beach FL 32174-9485 |
| Practice Telephone | 3866777730 |
| Practice Fax Number | 3866777731 |
| Mailing Telephone | 3866777730 |
| Mailing Fax Number | 3866777731 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | LLOYD WAXMAN (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6316942816 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
06-18617 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
555 W GRANADA BLVD |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-9485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184263311 | Andrew Devries | Behavioral Analyst | 555 W Granada Blvd, Ormond Beach, FL 32174-9485 | 2020-01-06 |
| 1285173328 | Cullers Chiropractic Center | Chiropractor | 555 W Granada Blvd, Ste B9, Ormond Beach, FL 32174-9485 | 2017-02-22 |
| 1356602072 | Jill D Chrzanowski | Chiropractor | 555 W Granada Blvd, D6, Ormond Beach, FL 32174-9485 | 2012-05-30 |
| 1841577095 | Florida Snoring & Apnea Solutions LLC | Clinic/Center | 555 W Granada Blvd, Ste C-2, Ormond Beach, FL 32174-9485 | 2011-11-15 |
| 1194017095 | Patrick Paul Brodnik | Counselor | 555 W Granada Blvd, Suite B-12, Ormond Beach, FL 32174-9485 | 2011-05-10 |
| 1669779633 | Louise Cox Booth | Social Worker | 555 W Granada Blvd, Suite B-12, Ormond Beach, FL 32174-9485 | 2011-02-27 |
| 1417254483 | Susan Anne Chance | Social Worker | 555 W Granada Blvd, Suite B-12, Ormond Beach, FL 32174-9485 | 2011-02-27 |
| 1366746802 | Norman Malcolm Brown | Marriage & Family Therapist | 555 W Granada Blvd, Suite E 11, Ormond Beach, FL 32174-9485 | 2010-12-24 |
| 1598097248 | Rebecca L Blevins | Counselor | 555 W Granada Blvd, Suite D4, Ormond Beach, FL 32174-9485 | 2010-02-05 |
| 1548429590 | Jerrold Ecklind Do Pa | Clinic/Center | 555 W Granada Blvd, Suite D-2, Ormond Beach, FL 32174-9485 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| 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 |
|---|---|---|---|---|
| 1356446439 | Bob Flint Hollis | Radiology | 621 N Beach St, Ormond Beach, FL 32174-5322 | 2006-09-14 |
| 1083670871 | Suncoast Radiology, P.a. | Radiology | 500 Memorial Circle, Suite B, Ormond Beach, FL 32174-5054 | 2006-04-21 |
| 1043279763 | Lawrence Eugene Crimmins | Radiology | 1801 John Anderson Dr, Ormond Beach, FL 32176-3206 | 2006-03-21 |
| 1922412386 | F&s Radiology, PC | Radiology | 806 Riverside Dr, Ormond Beach, FL 32176-7851 | 2014-06-13 |
| 1972792596 | Ormond Radiology Partnership, LLC | Radiology | 500 Memorial Cir, Suite B, Ormond Beach, FL 32174-5071 | 2007-10-19 |
| 1104876358 | Florida Hospital Imaging LLC | Radiology | 335 Clyde Morris Blvd, Suite 250, Ormond Beach, FL 32174-5959 | 2006-05-10 |
| 1871559971 | Sergio N/a Pineiro Jr. | Radiology | 500 Memorial Cir, Suite B, Ormond Beach, FL 32174-5054 | 2006-04-26 |
| 1487610903 | Rakesh C Patel | Radiology | 500 Memorial Cir, Suite B, Ormond Beach, FL 32174-5054 | 2006-04-24 |
| 1285690099 | Ormond Radiology Partnership, L.L.C. | Radiology | 500 Memorial Cir, Suite E-2, Ormond Beach, FL 32174-5054 | 2006-04-21 |
| 1598721326 | Bhaskar N/a Golla | Radiology | 500 Memorial Cir, Suite B, Ormond Beach, FL 32174-5054 | 2006-04-21 |
| Find all providers in ORMOND BEACH | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
Please comment or provide details below to improve the information on STAND-UP MRI & DIAGNOSTIC CENTER, PA.
| 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.