RADIOLOGY ASSOCIATES OF THE TREASURE COAST PA INC (NPI# 1891762910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891762910 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY ASSOCIATES OF THE TREASURE COAST PA INC |
| Practice Address |
698 Sw Port St Lucie Blvd Suite 109 Port St Lucie FL 34953-1565 |
| Mailing Address |
Po Box 71 Jensen Beach FL 34958-0071 |
| Practice Telephone | 7728734525 |
| Practice Fax Number | 7728734121 |
| Mailing Telephone | 8662633820 |
| Mailing Fax Number | 8668579967 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2016-08-27 |
| Authorized Official Name | DR. RONALD BEATON (PHYSICIAN OWNER) |
| Authorized Official Telephone | 7728734525 |
| Authorized Official Credential | MD |
| 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 | BCBS PROVIDER GROUP ID# | 38457 | 01 |
| FL | RAILROAD MEDICARE | CJ7124 | 01 |
| Street Address |
698 SW PORT ST LUCIE BLVD SUITE 109 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34953-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| 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 |
|---|---|---|---|---|
| 1619441961 | Insight Radiology, Pllc | Radiology | 451 Sw Bethany Dr Ste 102, Port St Lucie, FL 34986-1964 | 2019-01-18 |
| 1790946291 | Lloyd Duncan Heilman | Radiology | 532 Se Walters Ter, Port St Lucie, FL 34983-3881 | 2008-06-18 |
| 1083663686 | Radiology Imaging Associates | Radiology | 1825 Se Tiffany Ave, Suite 104, Port St Lucie, FL 34952-7554 | 2006-05-09 |
| 1124091558 | Vijaya Vardhan Chundi | Radiology | 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 | 2006-02-08 |
| 1982058798 | Axon Medical Consultants, Pllc | Radiology | 451 Sw Bethany Dr, Ste. 102, Port St Lucie, FL 34986-1964 | 2016-04-18 |
| 1932443645 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2012-11-19 |
| 1215271945 | Sheridan Radiology Services of Virginia, Inc | Radiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2012-11-19 |
| 1043554736 | Ics Radiology, Inc. | Radiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2012-11-19 |
| 1609110345 | Sheridan Radiology Services of South Florida, Inc. | Radiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2012-11-19 |
| 1245574961 | Sheridan Radiology Services of Kentucky, Inc | Radiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2012-11-19 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34953 |
Please comment or provide details below to improve the information on RADIOLOGY ASSOCIATES OF THE TREASURE COAST PA INC.
| 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.