MARIANNA IMAGING, LLC (NPI# 1790146140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790146140 |
| Entity Type | Organization |
| Organization Name | MARIANNA IMAGING, LLC |
| Practice Address |
4250 Hospital Dr Marianna FL 32446-1917 |
| Mailing Address |
609 N Bay Dr Lynn Haven FL 32444-3026 |
| Practice Telephone | 8507182580 |
| Enumeration Date | 2016-03-13 |
| Last Update Date | 2016-03-13 |
| Authorized Official Name | DR. WILLIAM SCOTT CAMPBELL JR. (PRESIDENT) |
| Authorized Official Telephone | 8503813847 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME51689 | FL | Other Service Providers |
| Street Address |
4250 HOSPITAL DR |
| City | MARIANNA |
| State | FL |
| Zip Code | 32446-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093700320 | Glenn L. Clark | Radiology | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2005-09-13 |
| 1013481225 | Small Hospital Innovations LLC | Emergency Medicine | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2019-01-22 |
| 1306341623 | Heath Rogers | Nurse Anesthetist, Certified Registered | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2018-03-28 |
| 1679011001 | Andrea Davis | Nurse Anesthetist, Certified Registered | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2017-02-06 |
| 1992178727 | Summer Breeze Emergency Physicians, LLC | Physician Assistant | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2015-11-02 |
| 1093187957 | Eminence Emergency Physicians, LLC | Physician Assistant | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2015-10-30 |
| 1629460233 | Heather Stone | Nurse Anesthetist, Certified Registered | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2015-02-19 |
| 1346652922 | Kayla L Gore | Registered Nurse | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2014-05-29 |
| 1578989844 | Turtle Run Emergency Physicians | Emergency Medicine | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2014-03-11 |
| 1104241348 | Florida Em-i Medical Services, Pa | Physician Assistant | 4250 Hospital Dr, Marianna, FL 32446-1917 | 2014-02-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054817 | Covenant Home Health Care, LLC | Home Health | 4540 Lafayette Street, Ste. G, Marianna, FL 32446 | 2019-07-11 |
| 1063902930 | Syntha Alvarez | Assistant Behavior Analyst | 3217 Highway 71, Marianna, FL 32446 | 2018-05-15 |
| 1922528926 | Charlotte Allen | Respite Care | 4326 Deering Street, Marianna, FL 32446 | 2017-06-21 |
| 1003352097 | Jonathan Lee | Physical Therapist | 4387 Kelson Ave Apt A, Marianna, FL 32446 | 2017-01-13 |
| 1386003192 | Harold B Parker | Nurse Practitioner | Sunland Center 3700 Williams Drive, Marianna, FL 32446 | 2016-02-22 |
| 1912372756 | John Tyler Ellerbee | Nurse Practitioner | 4215 E Kelson Ave, Marianna, FL 32446 | 2015-12-04 |
| 1902206790 | Jason Williams | Spec/Tech, Cardiovascular | 3625 Fci Road, Marianna, FL 32446 | 2014-08-28 |
| 1336558238 | Rocky Mountain Holdings, LLC | Ambulance | 3689 Industrial Park Dr, Marianna, FL 32446 | 2014-08-05 |
| 1831430826 | Jantzen Wayne Whitehead | Counselor | 2860 Highway 71 N, Suite A, Marianna, FL 32446 | 2013-03-15 |
| 1336498047 | Sharon Lynn Miller | Counselor | 2933 Madison Street, Marianna, FL 32446 | 2012-09-10 |
| Find all providers in zip 32446 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790732881 | Er Physician Group At Jackson Hospital | Specialist | 4298 5th Ave, Marianna, FL 32446-2173 | 2006-05-27 |
| 1396735858 | David Arthur Flick | Specialist | 4306 3rd Ave Ste B, Marianna, FL 32446-2121 | 2005-10-26 |
| 1558695668 | Steven Paul Surgnier | Specialist | 4230 Hospital Dr, Suite 210, Marianna, FL 32446-1934 | 2009-09-22 |
| 1225244395 | Pain Clinic of Northwest Fl, Inc | Specialist | 4284 Kelson Ave, Marianna, FL 32446 | 2007-05-15 |
| 1164636700 | Lisa Kathryn Debrauwere | Specialist | 4230 Lafayette St Ste C, Massage Room, Marianna, FL 32446-8231 | 2007-05-10 |
| 1881815520 | Jackson County Hospital District | Specialist | 3051 6th St, Marianna, FL 32446-1933 | 2007-05-01 |
| 1962532655 | Marianna Ob Gyn Associates P A | Specialist | 4230 Hospital Dr, Suite 209, Marianna, FL 32446-1955 | 2007-03-06 |
| 1710089479 | Wensi Natasha West | Specialist | 4440 Lafayette St Ste K, Marianna, FL 32446-3411 | 2006-09-02 |
| 1578592499 | Joseph T Sherrel | Specialist | 4316 5th Ave, Marianna, FL 32446-2182 | 2006-07-02 |
| 1407895584 | Er Physician Group At Jackson Hospital | Specialist | 4298 5th Ave, Marianna, FL 32446-2173 | 2006-06-05 |
| Find all providers in MARIANNA | ||||
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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.