SHARPER IMAGING DIAGNOSTIC RADIOLOGY CENTER INC (NPI# 1730288515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730288515 |
| Entity Type | Organization |
| Organization Name | SHARPER IMAGING DIAGNOSTIC RADIOLOGY CENTER INC |
| Other Organization Name | HARBOR IMAGING |
| Practice Address |
3430 Tamiami Trl Suite B Port Charlotte FL 33952-8127 |
| Practice Telephone | 9418838383 |
| Practice Fax Number | 9418838386 |
| Mailing Telephone | 9418838383 |
| Mailing Fax Number | 9418838386 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KELLY BLACKMER (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 9412763517 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
ME67871 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | V2822 | 01 | |
| AMERIGROUP | 213119 | 01 | |
| HUMANA | 150492200863 | 01 |
| Other Name | Type Code |
|---|---|
| Harbor Imaging | Doing Business As Name - Organization |
| Street Address |
3430 TAMIAMI TRL SUITE B |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-8127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831175561 | James Edward White | Radiology | 3430 Tamiami Trl, Suite B, Port Charlotte, FL 33952-8127 | 2005-12-15 |
| 1962699538 | Neil B. Zusman, M.d., P.a. | Ophthalmology | 3430 Tamiami Trl, Suite A, Port Charlotte, FL 33952-8127 | 2007-09-27 |
| 1194848424 | Hosie Kenneth Riley | Radiology | 3430 Tamiami Trl, Suite B, Port Charlotte, FL 33952-8148 | 2007-04-10 |
| 1750391926 | Rhiannon L Maggiore | Optometrist | 3430 Tamiami Trl, Suite A, Port Charlotte, FL 33952-8127 | 2006-08-09 |
| 1639124589 | Paul Wozney | Radiology | 3430 Tamiami Trl, Suite B, Port Charlotte, FL 33952-8127 | 2006-05-22 |
| 1073588604 | Neil Bryan Zusman | Ophthalmology | 3430 Tamiami Trl, Suite A, Port Charlotte, FL 33952-8127 | 2006-02-17 |
| 1295706950 | Dana Geoffrey Borgeson | Radiology | 3430 Tamiami Trl, Ste B, Port Charlotte, FL 33952-8148 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710200845 | Partners Imaging Center of Charlotte LLC | Clinic/Center | 4161 Tamiami Trl Ste 204, Port Charlotte, FL 33952-9204 | 2010-03-03 |
| 1053583526 | Coastal Imaging Inc | Clinic/Center | 20020 Veterans Blvd, Port Charlotte, FL 33954-2112 | 2008-03-25 |
| 1346443819 | Sara Radiology Inc | Clinic/Center | 2400 Harbor Blvd, Unit #7, Port Charlotte, FL 33952-5052 | 2007-06-11 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
Please comment or provide details below to improve the information on SHARPER IMAGING DIAGNOSTIC RADIOLOGY CENTER 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.