MRI-SOUTH UMBERTON INC (NPI# 1801889902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801889902 |
| Entity Type | Organization |
| Organization Name | MRI-SOUTH UMBERTON INC |
| Other Organization Name | MRA OPEN MRI |
| Practice Address |
6500 66th St Pinellas Park FL 33781-5030 |
| Mailing Address |
551 N Cattlemen Rd 202 Sarasota FL 34232-6444 |
| Practice Telephone | 7275486736 |
| Practice Fax Number | 7275480947 |
| Mailing Telephone | 9419266228 |
| Mailing Fax Number | 9413716719 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2009-12-08 |
| Authorized Official Name | BELINDA HOLMES (MANAGER) |
| Authorized Official Telephone | 9413654617 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
HCC3688 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 061303701 | 05 |
| Other Name | Type Code |
|---|---|
| MRA Open MRI | Doing Business As Name - Organization |
| Street Address |
6500 66TH ST |
| City | PINELLAS PARK |
| State | FL |
| Zip Code | 33781-5030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932381134 | Jane W Post | Physical Therapist | 6500 66th St, Pinellas Park, FL 33781-5030 | 2007-11-29 |
| 1225217771 | Vicki R Darlington | Occupational Therapist | 6500 66th St, Pinellas Park, FL 33781-5030 | 2007-11-01 |
| 1588701700 | Charles James Mccluskey | Physician Assistant | 6500 66th St, Pinellas Park, FL 33781-5030 | 2007-01-30 |
| 1205847191 | Richard P Anderson | Physical Therapist | 6500 66th St, Pinellas Park, FL 33781-5030 | 2006-08-10 |
| 1821076613 | Karen Yvonne Baker | Physical Therapist | 6500 66th St, Pinellas Park, FL 33781-5030 | 2006-01-03 |
| 1336122027 | Heather L Wood | Occupational Therapist | 6500 66th St, Pinellas Park, FL 33781-5030 | 2005-11-28 |
| 1811979636 | Michael David Slomka | Orthopaedic Surgery | 6500 66th St, Pinellas Park, FL 33781-5030 | 2005-11-17 |
| 1467434167 | Howard W Sharf | Orthopaedic Surgery | 6500 66th St, Pinellas Park, FL 33781-5030 | 2005-11-17 |
| 1255313425 | Tampa Bay Orthopaedic Specialists | Orthopaedic Surgery | 6500 66th St, Pinellas Park, FL 33781-5030 | 2005-11-15 |
| 1215924998 | Alina Cecelia Vaicaitis-martin | Nurse Anesthetist, Certified Registered | 6500 66th St, Pinellas Park, FL 33781-5030 | 2005-09-29 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1275586729 | Gagandeep Singh Mangat | Radiology | 4800 Park Blvd, Pinellas Park, FL 33781 | 2006-05-18 |
| 1912058561 | Vimal Harshad Patel | Radiology | 4800 Park Blvd, Pinellas Park, FL 33781 | 2007-01-12 |
| 1922051333 | Gateway Radiology Consultants Pa | Radiology | 4800 Park Blvd, Pinellas Park, FL 33781-3534 | 2006-05-18 |
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| Find all providers with the same taxonomy | ||||
| City | PINELLAS PARK |
| Zip Code | 33781 |
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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.