Shannon L Beardsley (NPI# 1649292954, PAC ID# 8325949795) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1649292954 |
| PAC ID by PECOS | 8325949795 |
| Professional Enrollment ID | I20040719000584 |
| Full Name | Shannon L Beardsley |
| Organization Legal Name | GEORGIA RADIOLOGY IMAGING CONSULTANTS LLC |
| Address |
3600 N 32nd Ave Hollywood FL 33021-2612 |
| Phone Number | 8324135302 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 5698930774 |
| Number of Group Practice Members | 66 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100117 | BAPTIST MEDICAL CENTER BEACHES |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 110003 | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS |
| 100226 | ORANGE PARK MEDICAL CENTER |
| 100140 | BAPTIST MEDICAL CENTER NASSAU |
| Address | Phone | Organization |
|---|---|---|
| 3600 N 32nd Ave, Hollywood, FL 33021-2612 | 8324135302 | GEORGIA RADIOLOGY IMAGING CONSULTANTS LLC |
| 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 | 9043995550 | MORI BEAN AND BROOKS, INC |
| Organization Legal Name | GEORGIA RADIOLOGY IMAGING CONSULTANTS LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Sue Kent | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
| Brian Bishop Moon | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
| Matthew Earl Harris | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 1320 Kainui Dr, Kailua, HI 96734-1935 |
| Eduardo Oyola Torres | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
| Trishna Y Patel | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
| Jeffrey H West | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Krishna D Thirumala | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
| Mary Alderman | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
| Richard C Buxton | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
| Jay E Jones | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
| Street Address |
3600 N 32ND AVE |
| City | HOLLYWOOD |
| State | FL |
| Zip | 33021-2612 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Sue Kent | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
| Eduardo Oyola Torres | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
| Mary Alderman | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
| Jay E Jones | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
| Dennis W Wulfeck | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
| John L Panaccione | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
| Bryan C Howze | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
| Dianne Laroche Johnson | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
| Jesse A Davila | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
| Brett I Gratz | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorrett Codner | Nurse Practitioner | South Broward Hospital District | 1150 N 35th St, Suite 205a, Hollywood, FL 33021 |
| Carmen Herrera | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Sathi Ghosh | Psychiatry | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Alan S Lane | Ophthalmology | 4000 Hollywood Blvd, 180n, Hollywood, FL 33021-1204 | |
| Jeffrey E Caplan | Plastic and Reconstructive Surgery | 4330 Sheridan St, Suite 102, Hollywood, FL 33021-1406 | |
| Edward S. Wagner | Obstetrics/gynecology | Vitalmd Group Holding LLC | 4330 Sheridan St, Suite 101, Hollywood, FL 33021-1408 |
| Ravikanth Chiravuri | Cardiovascular Disease (cardiology) | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 | |
| Thomas D Rawson | Physician Assistant | Frank C Alario Md Pl | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 |
| Michael L Newman | Optometry | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Blaine S Cameron | Anesthesiology | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Find all physicians in zip 33021 | |||
| City | HOLLYWOOD |
| Zip Code | 33021 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | HOLLYWOOD + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Shannon L Beardsley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.