NORTHSIDE IMAGING LLC (NPI# 1740351477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740351477 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE IMAGING LLC |
| Other Organization Name | NORTHSIDE IMAGING CENTER |
| Practice Address |
6006 49th Street North Suite 140 St Petersburg FL 33709 |
| Mailing Address |
122 Linsley Avenue Suite A Brandon FL 33511 |
| Practice Telephone | 7275285900 |
| Practice Fax Number | 7275285913 |
| Mailing Telephone | 8136574914 |
| Mailing Fax Number | 8136574916 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT SAMUEL HANKINS JR. (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 6153442274 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northside Imaging Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669829214 | Northside Imaging LLC | Radiology | 845 Prince Ave, Athens, GA 30606-2723 | 2016-05-24 |
| 1699122291 | Northside Imaging LLC | Radiology | 638 441 Historic Hwy N, Suite D, Demorest, GA 30535-4574 | 2016-05-24 |
| 1316394976 | Northside Imaging LLC | Radiology | 2706 Watson Blvd, Suite D, Warner Robins, GA 31093-2997 | 2016-05-24 |
| 1063402279 | Northside Imaging LLC | Radiology | 6006 49th St N, Ste 140, St Petersburg, FL 33709-2148 | 2005-10-27 |
| Street Address |
6006 49TH STREET NORTH SUITE 140 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| 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 | 33709 |
Please comment or provide details below to improve the information on NORTHSIDE IMAGING LLC.
| 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.