PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE (NPI# 1174823207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174823207 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE |
| Practice Address |
6101 Pine Ridge Rd Naples FL 34119-3900 |
| Mailing Address |
Po Box 26309 Tampa FL 33623-6309 |
| Practice Telephone | 8138996226 |
| Practice Fax Number | 8139858006 |
| Mailing Telephone | 8138996226 |
| Mailing Fax Number | 8139858006 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |
| Authorized Official Name | DR. ELLIS B. NORSOPH (PRESIDENT) |
| Authorized Official Telephone | 8138996220 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
4463 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA LICENSE | 4463 | 01 |
| Street Address |
6101 PINE RIDGE RD |
| City | NAPLES |
| State | FL |
| Zip Code | 34119-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480941 | Moheb M Mohareb | Surgery | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2005-07-12 |
| 1053919241 | Christopher John Larson | Specialist/Technologist, Other | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-10-11 |
| 1699372672 | Kyle Harrington | Physician Assistant | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-10-03 |
| 1700495389 | Naples Hma LLC | Medicare Defined Swing Bed Unit | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-07-29 |
| 1295350411 | Tian Luo | Surgery | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-06-12 |
| 1891318481 | Capital Anesthesia Solutions of Florida II, LLC | Anesthesiology | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-05-18 |
| 1457986879 | Lory Ann Taraborelli | Clinical Nurse Specialist | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-03-05 |
| 1003453838 | Christina Elana Cibula | Nurse Anesthetist, Certified Registered | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-11-27 |
| 1124671367 | Rebecca Nicole Orr | Pharmacist | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-07-17 |
| 1174188999 | Carrie Daugherty | Nurse Anesthetist, Certified Registered | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-05-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
| 1033771993 | Stephanie N Chandler | Nurse Practitioner | 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 | 2019-07-01 |
| 1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
| 1437676350 | Brenda A Schlueter | Clinic/Center | 7070 Venice Way Apt 2904, Naples, FL 34119 | 2017-08-23 |
| 1457760548 | Loving Care Home Health Agency, Inc. | Home Health | 2590 Northbrooke Plaza Drive, Suite 208, Naples, FL 34119 | 2014-08-04 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1861832941 | Queanh N Phan | Dentist | 8855 Immokalee Rd, Suite 10, Naples, FL 34119 | 2013-07-03 |
| 1144505199 | Isabelle Faucher | Dietitian, Registered | 4522 Executive Dr Unit 103, Naples, FL 34119 | 2011-10-20 |
| 1528340973 | Amy Hemsworth | Pharmacist | 13520 Tamiami Trail N, Naples, FL 34119 | 2011-09-12 |
| 1437469970 | Marika Walker | Physician Assistant | 4513 Executive Dr., Naples, FL 34119 | 2010-10-18 |
| Find all providers in zip 34119 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457724379 | South Florida Nuclear Group, L.L.C. | Clinic/Center | 14889 Indigo Lakes Dr, Naples, FL 34119-4802 | 2015-11-02 |
| 1255654380 | Partners Imaging Center of Naples LLC | Clinic/Center | 730 Goodlette Rd N Ste 101, Naples, FL 34102-5617 | 2010-03-03 |
| 1922172865 | Imed Diagnostic Services of Southwest Florida LLC | Clinic/Center | 5650 Strand Ct, Naples, FL 34110-3343 | 2006-11-20 |
| 1841590965 | Physicians Regional Medical Center - Collier Blvd | Clinic/Center | 8300 Collier Blvd, Naples, FL 34114-3549 | 2010-10-22 |
| 1952479453 | Innovative Medical Imaging-naples LLC | Clinic/Center | 5650 Strand Ct, Naples, FL 34110-3343 | 2006-12-01 |
| 1003922832 | American Radiology Services Banyan Center LLC | Clinic/Center | 1350 Tamiami Trl N, Suite101, Naples, FL 34102-5203 | 2006-08-22 |
| 1467471235 | Mark John Marzano | Clinic/Center | 1350 Tamiami Trl N, Ste 101, Naples, FL 34102-5209 | 2006-07-19 |
| 1790734846 | Nuclear Medicine of Naples LLC | Clinic/Center | 599 9th St N, Suite 211, Naples, FL 34102-5623 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053223 | Sheridan-pines Mri, LLC | Clinic/Center | 19442 Sheridan Street, Pembroke Pines, FL 33332 | 2020-11-06 |
| 1114535762 | Coral Hills Imaging LLC | Clinic/Center | 9690 W Sample Rd Ste 103, Coral Springs, FL 33065-4031 | 2020-07-20 |
| 1659990364 | Provectus Health LLC | Clinic/Center | 3972 Durksly Dr, Melbourne, FL 32940-1286 | 2020-04-13 |
| 1619500881 | Adventhealth West Florida Imaging, Inc. | Clinic/Center | 305 E Brandon Blvd Ste B, Brandon, FL 33511-5222 | 2020-02-17 |
| 1831736768 | Bria Group Inc | Clinic/Center | 880 Nw 13th St Ste 100, Boca Raton, FL 33486-2342 | 2019-12-10 |
| 1235770686 | Clermont Radiology LLC | Clinic/Center | 18 Ne 1st Ave, Ocala, FL 34470-6658 | 2019-10-07 |
| 1609422146 | Dis of Tampa Bay Inc | Clinic/Center | 3635 W Waters Ave, Tampa, FL 33614-2783 | 2019-08-12 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1417518481 | Ohri, LLC | Clinic/Center | 5151 Winter Garden Vineland Road., Suite 104, Windermere, FL 34786 | 2019-06-21 |
| 1093273971 | Alfa Diagnostic LLC | Clinic/Center | 21355 E Dixie Hwy Ste 107, Aventura, FL 33180-1239 | 2019-03-09 |
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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.