FLORIDA DIAGNOSTIC IMAGING CENTER (NPI# 1750353629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750353629 |
| Entity Type | Organization |
| Organization Name | FLORIDA DIAGNOSTIC IMAGING CENTER |
| Other Organization Name | CENTRE POINTE DIAGNOSTIC IMAGING |
| Practice Address |
2457 Care Dr Suite D-100 Tallahassee FL 32308-4580 |
| Mailing Address |
3480 Preston Ridge Rd Ste 600 Credentialing Dept Alpharetta GA 30005-5462 |
| Practice Telephone | 8506717260 |
| Practice Fax Number | 8506717265 |
| Mailing Telephone | 7703000101 |
| Mailing Fax Number | 7703000429 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2008-04-18 |
| Authorized Official Name | MR. DANIEL J SCHAEFER (COO) |
| Authorized Official Telephone | 7703000101 |
| 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 |
|---|---|
| Centre Pointe Diagnostic Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356309074 | Florida Diagnostic Imaging Center | Radiology | 908 Mar Walt Dr, Fort Walton Beach, FL 32547-6706 | 2006-05-02 |
| 1043278831 | Florida Diagnostic Imaging Center | Radiology | 4536 E Highway 20, Niceville, FL 32578-9755 | 2006-05-02 |
| 1669555967 | Florida Diagnostic Imaging Center | Radiology | 908 Mar Walt Dr, Fort Walton Beach, FL 32547-6706 | 2006-10-23 |
| 1407814106 | Florida Diagnostic Imaging Center | Radiology | 16201 Panama City Beach Pkwy, Sutie 101, Panama City Beach, FL 32413-5301 | 2006-05-02 |
| Street Address |
2457 CARE DR SUITE D-100 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596148 | Leonard S. Leichus | Internal Medicine | 2457 Care Dr, Ste D 100, Tallahassee, FL 32308-3501 | 2005-05-31 |
| 1730355132 | Lori Repp Harrison | Nurse Practitioner | 2457 Care Dr, Suite D100, Tallahassee, FL 32308-3501 | 2008-05-06 |
| 1104099399 | Shynequria Donshea Williams-mcnealy | Nurse Practitioner | 2457 Care Dr, Suite D100, Tallahassee, FL 32308-3501 | 2008-04-08 |
| 1245229053 | Julia C. Pallentino | Nurse Practitioner | 2457 Care Dr, Suite D 100, Tallahassee, FL 32308-3501 | 2005-10-14 |
| 1952390759 | Virginie Chrisitine Ramsey | Nurse Practitioner | 2457 Care Dr, Suite D 100, Tallahassee, FL 32308-3501 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| 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 |
|---|---|---|---|---|
| 1629619044 | North Florida Radiology Pllc | Radiology | 1563 Capital Cir Se, Tallahassee, FL 32301-5115 | 2019-10-07 |
| 1992946230 | Radiserv LLC | Radiology | 4224 W Tennessee St # 205, Tallahassee, FL 32304-1033 | 2009-03-17 |
| 1972613560 | Diagnostic Radiology Inc | Radiology | 7776 Evening Star Lane, Tallahassee, FL 32312-3555 | 2006-08-30 |
| 1073575858 | Bruce Alan Rodan | Radiology | 3259 Updike Ave, Tallahassee, FL 32311 | 2006-04-05 |
| 1609841402 | Stand Up Mri of Tallahassee Pa | Radiology | 2332 Capital Cir Ne, Tallahassee, FL 32308-4308 | 2006-02-23 |
| 1932184652 | Raymond Paul Radanovich | Radiology | 1803 Miccosukee Commons Dr, Tallahassee, FL 32308-7403 | 2005-12-15 |
| 1447761101 | Radiology Physician Solutions of North Florida, LLC | Radiology | 2626 Capital Medical Blvd, Tallahassee, FL 32308-4402 | 2017-10-20 |
| 1205376191 | Tallahassee Diagnostic Imaging Center, Ltd | Radiology | 1600 Phillips Rd, Tallahassee, FL 32308-5304 | 2017-02-27 |
| 1003291535 | Radiology Associates of Tallahassee Pa | Radiology | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2015-07-27 |
| 1386904704 | Karan Nilesh Patel | Radiology | 1600 Phillips Rd, Tallahassee, FL 32308-5304 | 2012-05-18 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on FLORIDA DIAGNOSTIC IMAGING CENTER.
| 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.