ST JOSEPH'S DIAGNOSTIC CENTER LLC (NPI# 1821527474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821527474 |
Entity Type | Organization |
Organization Name | ST JOSEPH'S DIAGNOSTIC CENTER LLC |
Other Organization Name | BAYCARE OUTPATIENT IMAGING |
Practice Address |
17512 Dona Michelle Dr Ste 5 Tampa FL 33647-3265 |
Mailing Address |
2995 Drew St Fl 2 Clearwater FL 33759-3012 |
Practice Telephone | 8135867650 |
Mailing Telephone | 7272819065 |
Mailing Fax Number | 8136352613 |
Enumeration Date | 2017-06-07 |
Last Update Date | 2019-01-18 |
Authorized Official Name | TAMBLYN CUBERO (VP) |
Authorized Official Telephone | 7272819093 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 061048806 | 05 |
Other Name | Type Code |
---|---|
BayCare Outpatient Imaging | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780970137 | St Joseph's Diagnostic Center LLC | Radiology | 4091 Van Dyke Rd, Lutz, FL 33558-8007 | 2011-06-23 |
1760821599 | St Joseph's Diagnostic Center LLC | Radiology | 10141 Big Bend Rd, Riverview, FL 33578-7419 | 2013-06-14 |
1699062422 | St Joseph's Diagnostic Center LLC | Radiology | 12780 Race Track Rd, Suite 100, Tampa, FL 33626-1397 | 2011-06-30 |
Street Address |
17512 DONA MICHELLE DR STE 5 |
City | TAMPA |
State | FL |
Zip Code | 33647-3265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811161581 | Kannya Parameshwari Asokan | Family Medicine | 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265 | 2008-04-14 |
1104324839 | Baycare Urgent Care, LLC | Pharmacy | 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265 | 2018-01-29 |
1114453842 | Sanjay Kumar Jain | Family Medicine | 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265 | 2017-05-01 |
1194275271 | Danielle N Hebert | Nurse Practitioner | 17512 Dona Michelle Dr Ste 5, Tampa, FL 33647-3265 | 2016-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
Find all providers in zip 33647 |
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 |
---|---|---|---|---|
1144834763 | Tower Imaging LLC | Radiology | 17416 Brookside Trace Ct., Tampa, FL 33647-3589 | 2020-09-01 |
1366067712 | Baycare Outpatient Imaging LLC | Radiology | 711 S Dale Mabry Hwy, Tampa, FL 33609-4445 | 2020-06-11 |
1306482088 | Michael P. Flynn | Radiology | 1003 Bay Harbour Place, Tampa, FL 33602 | 2019-11-18 |
1528526977 | Raddoctor, Pa | Radiology | 9203 Pine Island Ct, Tampa, FL 33647-2301 | 2019-03-05 |
1588023261 | Florida Gulfcoast Medical Imaging LLC | Radiology | 9822 Tree Tops Lake Rd, Tampa, FL 33626-4764 | 2016-02-23 |
1063803302 | Ahmed Sherif | Radiology | 2 Tampa General Cir # 7035, Usf Dept of Radiology, South Tampa Center, Tampa, FL 33606-3603 | 2015-02-09 |
1780015297 | St. Joseph's Diagnostic Center, LLC. | Radiology | 2222 W Swann Ave, Tampa, FL 33606-2426 | 2013-12-09 |
1245576651 | Radiology Associates of Tampa Pa | Radiology | 5 Tampa General Cir Ste 800, Harborside Medical Clinic, Tampa, FL 33606-3601 | 2012-12-13 |
1427282151 | Eric Matthew Lenz | Radiology | 3004 W San Miguel St, Tampa, FL 33629-6043 | 2009-05-09 |
1699929380 | Charles Howard Fisher | Radiology | 4904 Andros Dr, Tampa, FL 33629-4802 | 2008-11-09 |
Find all providers in TAMPA |
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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.