GULF COAST HEALTH SYSTEM IMAGING, LLC (NPI# 1750822342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750822342 |
| Entity Type | Organization |
| Organization Name | GULF COAST HEALTH SYSTEM IMAGING, LLC |
| Other Organization Name | OPTIMAL IMAGING SACRED HEART HEALTH SYSTEM |
| Practice Address |
13137 Sorrento Rd Pensacola FL 32507 |
| Mailing Address |
1642 Westgate Cir Ste 202 Brentwood TN 37027-8195 |
| Practice Telephone | 6159741972 |
| Mailing Telephone | 6159741972 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | RYAN D BROWN (GENERAL COUNSEL) |
| Authorized Official Telephone | 6159741972 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Optimal Imaging Sacred Heart Health System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497296081 | Gulf Coast Health System Imaging, LLC | Clinic/Center | 4033 Gulf Breeze Parkway, Gulf Breeze, FL 32561 | 2017-03-15 |
| Street Address |
13137 SORRENTO RD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548465404 | Cherra Faye Pumphrey | Internal Medicine | 13137 Sorrento Rd, Pensacola, FL 32507-8777 | 2007-06-19 |
| 1730732835 | Mary Riesberg | Speech-Language Pathologist | 13137 Sorrento Rd, Suite C, Pensacola, FL 32507 | 2019-07-18 |
| 1073071866 | Heather Dickin | Nurse Practitioner | 13137 Sorrento Rd, Pensacola, FL 32507-8777 | 2019-03-11 |
| 1265960371 | Michael Ard | Physical Therapist | 13137 Sorrento Rd, Pensacola, FL 32507-8777 | 2017-06-02 |
| 1285981548 | Sacred Heart Health System | Rehabilitation Unit | 13137 Sorrento Rd, Pensacola, FL 32507-8777 | 2012-08-06 |
| 1467766006 | Pallavi Sindhu | Family Medicine | 13137 Sorrento Rd, Pensacola, FL 32507-8777 | 2010-08-05 |
| 1457665093 | Eric Preston Waddington | Family Medicine | 13137 Sorrento Rd, Pensacola, FL 32507-8777 | 2010-08-05 |
| 1821242124 | Kristan M Robinson | Physical Therapy Assistant | 13137 Sorrento Rd, Pensacola, FL 32507-8777 | 2008-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725163 | Rachel Lynn Cain | Social Worker | Jacc Hudvash C/o Rachel Cain, 790 Veteran's Way, Pensacola, FL 32507 | 2019-05-20 |
| 1710489562 | Erika Ruth Atkins | Developmental Therapist | 14530 Perdido Key Dr., Unit 6, Pensacola, FL 32507 | 2018-03-07 |
| 1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
| 1568834182 | Kalia Belessis | Behavioral Analyst | 30 S. 3rd Street, Pensacola, FL 32507 | 2015-10-22 |
| 1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1851528764 | Xin Wei | Internal Medicine | 6000 West Highway 98, Apo, AP 32507 | 2009-06-18 |
| 1205033842 | Lori Lynn Douglass | Day Training, Developmentally Disabled Services | 4711 Huron Dr, Pensacola, FL 32507 | 2007-06-28 |
| 1346461985 | Jennifer Ann Sculley | Pharmacist | 13019 Sorrento Road, Pensacola, FL 32507 | 2007-05-01 |
| 1528183704 | Al M Ridlehoover | Dentist | 302 W Sunset Ave, Pensacola, FL 32507 | 2007-03-20 |
| Find all providers in zip 32507 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255741823 | Touchstone Imaging of Pensacola, LLC | Clinic/Center | 4996 N Davis Hwy, Pensacola, FL 32503-2344 | 2014-05-05 |
| 1477735207 | Baptist Imaging Center LLC | Clinic/Center | 5330 N Davis Hwy, Pensacola, FL 32503-2006 | 2007-12-04 |
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|---|---|---|---|---|
| 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 | ||||
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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.