BON-BONE MEDICAL IMAGING, INC. (NPI# 1013950401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013950401 |
| Entity Type | Organization |
| Organization Name | BON-BONE MEDICAL IMAGING, INC. |
| Practice Address |
6499 38th Ave N Suite G2 St Petersburg FL 33710-1656 |
| Mailing Address |
7040 Seminole Pratt Whitney Rd Ste. 25-166 Loxahatchee FL 33470-2468 |
| Practice Telephone | 7273412866 |
| Practice Fax Number | 7273412876 |
| Mailing Telephone | 8006642663 |
| Mailing Fax Number | 5617925199 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KAREN HARDY (BILLING MANAGER) |
| Authorized Official Telephone | 5617538557 |
| 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 | AETNA | 2243421 | 01 |
| DC | GHI | 2592718 | 01 |
| FL | BC/BS | V1761 | 01 |
| FL | AETNA | 579259 | 01 |
| FL | BC/BS | V1267 | 01 |
| FL | BC/BS | V1836 | 01 |
| DC | AVMED | 102686 | 01 |
| FL | PREFERRED CARE | 137014 | 01 |
| FL | AETNA | 2243431 | 01 |
| FL | AETNA | 7723768 | 01 |
| FL | AETNA | 2243437 | 01 |
| FL | BC/BS | V1173 | 01 |
| Street Address |
6499 38TH AVE N SUITE G2 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-1656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033183447 | Comprehensive Consultant Services | Pharmacy | 6499 38th Ave N, Ste A1, St Petersburg, FL 33710-1656 | 2006-02-14 |
| 1902162290 | Keith Runyan, Md | Internal Medicine | 6499 38th Ave N, Suite C-1, St Petersburg, FL 33710-1656 | 2012-04-11 |
| 1467755488 | Southcare Pharmacy Inc | Pharmacy | 6499 38th Ave N, Ste A1, St Petersburg, FL 33710-1656 | 2010-12-14 |
| 1841324837 | Mark James Ather | Pharmacist | 6499 38th Ave N, St Petersburg, FL 33710-1656 | 2007-03-14 |
| 1699801928 | Bruce Ungerleider | Family Medicine | 6499 38th Ave N, Suite B-1, St Petersburg, FL 33710-1656 | 2007-02-23 |
| 1588757520 | William Gross, Dpm, Pa | Podiatrist | 6499 38th Ave N, Suite C-2, St Petersburg, FL 33710-1656 | 2006-10-02 |
| 1104928282 | Jonathan Cedric Thornton | Dermatology | 6499 38th Ave N, Suite B-2, St Petersburg, FL 33710-1656 | 2006-09-01 |
| 1609896737 | William Gross | Podiatrist | 6499 38th Ave N, Suite C-2, St Petersburg, FL 33710-1656 | 2006-07-20 |
| 1487616017 | Anilkumar N Raiker | Internal Medicine | 6499 38th Ave N, Suite G1, St Petersburg, FL 33710-1656 | 2006-04-06 |
| 1730142373 | Anil N. Raiker, M.d., P.l.c. | Internal Medicine | 6499 38th Ave N, Suite G1, St Petersburg, FL 33710-1656 | 2006-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| 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 |
|---|---|---|---|---|
| 1871919613 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 960 Monterey Pt Ne, St Petersburg, FL 33704-2319 | 2014-03-17 |
| 1750717500 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 131 Cordova Blvd Ne, St Petersburg, FL 33704-3011 | 2013-09-24 |
| 1407280126 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 117 Bay Point Dr Ne, St Petersburg, FL 33704-3805 | 2013-08-29 |
| 1265871917 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 1297 Eden Isle Dr Ne, St Petersburg, FL 33704-1709 | 2013-06-17 |
| 1558502039 | Nasser Razack., M.d., Pa. | Radiology | 5338 - 1st Avenue North, St Petersburg, FL 33710 | 2009-03-13 |
| 1215095401 | John D. Bartone | Radiology | 200 2nd Ave S, #504, St Petersburg, FL 33701-4313 | 2006-12-04 |
| 1013008713 | Richard A. Leverone | Radiology | 5136 Central Ave, St Petersburg, FL 33707 | 2006-09-27 |
| 1225141328 | Nasser Razack | Radiology | 335 31st Street South, St Petersburg, FL 33712-1419 | 2006-08-16 |
| 1477586014 | George Philip Ciporkin | Radiology | 475 2nd St N, Unit # 701, St Petersburg, FL 33701-3029 | 2006-07-08 |
| 1376585596 | Lori Keith Taylor | Radiology | 332 Belleair Dr Ne, St Petersburg, FL 33704-2437 | 2006-06-12 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
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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.