NPIMap

Organization Active NPI

West Hernando Diagnostic & Mr Center

Doing business as West Hernando Diagnostic Center Brooksville

  • Diagnostic Radiology Physician
  • Brooksville, FL
National Provider Identifier
1013901883
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WEST HERNANDO DIAGNOSTIC & MR CENTER
Doing business as
West Hernando Diagnostic Center Brooksville
Practice address
15427 Cortez Blvd
Brooksville, FL 34613-6113
Phone
(352) 754-0600
Fax
(352) 754-0680
NPI assigned
Sep 7, 2005
Last updated
Jul 23, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST HERNANDO DIAGNOSTIC & MR CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Karen Hayes Jr.
Title
Cfo
Phone
(352) 799-0046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

15427 Cortez Blvd
Brooksville, FL 34613-6113

Mailing address

15427 Cortez Blvd
Brooksville, FL 34613-6113
Phone (352) 754-0600

Other names 1

  • West Hernando Diagnostic Center Brooksville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060808000086 FL Part B Supplier - Clinic/Group Practice 4880653195 Receives reassigned benefits from 53 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hudson, FL; Spring Hill, FL

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
West Hernando Diagnostic M

Locations

15427 Cortez Blvd
Brooksville, FL 34613
Phone (352) 754-0600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1013901883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15427 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136113",
            "telephone_number": "352-754-0600",
            "fax_number": "352-754-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15427 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136113",
            "telephone_number": "352-754-0600",
            "fax_number": "352-754-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HERNANDO DIAGNOSTIC & MR CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST HERNANDO DIAGNOSTIC &  MR  CENTER",
        "enumeration_date": "2005-09-07",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "352-799-0046",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Hernando Diagnostic Center Brooksville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Hernando Diagnostic Center Brooksville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.