PRIME RADIOLOGY OF MAITLAND INC (NPI# 1720533870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720533870 |
| Entity Type | Organization |
| Organization Name | PRIME RADIOLOGY OF MAITLAND INC |
| Practice Address |
7960 Forest City Rd Suite 102 Orlando FL 32810-2938 |
| Practice Telephone | 8635355544 |
| Practice Fax Number | 3213485777 |
| Mailing Telephone | 8635355544 |
| Mailing Fax Number | 3213485777 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | THOMAS BROWN (OWNER) |
| Authorized Official Telephone | 8635355544 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME62144 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
7960 FOREST CITY RD SUITE 102 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396124905 | West Orange Maitland Dialysis Center LLC | Clinic/Center | 7960 Forest City Rd, Suite 105, Orlando, FL 32810-2938 | 2015-05-28 |
| 1689127862 | Care America At Maitland, LLC | Pharmacy | 7960 Forest City Rd, Ste 101, Orlando, FL 32810-2938 | 2016-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| Find all providers in zip 32810 | ||||
| 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 |
|---|---|---|---|---|
| 1790301661 | Clearview Diagnostic | Radiology | 8076 S Orange Blossom Trl, Orlando, FL 32809-7670 | 2020-06-17 |
| 1598201998 | Prime Radiology of Pine Hills, Inc | Radiology | 828 Mercy Drive, Suite 4, Orlando, FL 32808 | 2017-01-10 |
| 1366829707 | Florida United Radiology, Lc | Radiology | 8732 Fernwicke Ct, Orlando, FL 32819-3830 | 2015-05-06 |
| 1326440926 | Pedro Miguel Soler Sr. | Radiology | 3310 Northglen Dr, Orlando, FL 32806-6339 | 2014-09-25 |
| 1881000149 | Shalin Mahesh Soni | Radiology | 601 E Rollins St Ste 400, Orlando, FL 32803-1248 | 2014-07-08 |
| 1770843179 | Charles William George | Radiology | 3519 Cullen Lakeshore Drive, Orlando, FL 32812 | 2012-05-21 |
| 1972860831 | Hsiang-jer Tseng | Radiology | 601 E Rollins St Ste 470a, Orlando, FL 32803 | 2012-04-17 |
| 1134390743 | Amir Paydar | Radiology | 2650 Dade Ave, Apt 1422, Orlando, FL 32804-4607 | 2008-03-23 |
| 1649452517 | Unitedrads, LLC | Radiology | 11253 S Apopka Vineland Rd, Orlando, FL 32836 | 2007-12-03 |
| 1225189897 | Robert Marshall | Radiology | 51 W Kaley St, Orlando, FL 32806-2942 | 2007-01-12 |
| Find all providers in ORLANDO | ||||
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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.