Heathrow Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

HEATHROW IMAGING LLC

Practice address

1343 South International Parkway
Suite 1351 BLDG 3
Lake Mary, FL 32746-1401

Phone

(407) 333-4464

Fax

(407) 333-4393

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Lavelle R Hardin

Title

Credentialing Coordinator

Phone

(615) 344-8203

Specialties & licenses 1

Addresses

Other identifiers 3

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Warren Louis Reuther III, MD

  • Diagnostic Radiology Physician
  • West Palm Beach, FL
  • NPI 1972561553
  NPD (past)
• Sheri Schweitzer, MD

  • Diagnostic Radiology Physician
  • Lake Mary, FL
  • NPI 1053346999
  NPD (past)
• Chanhi Park, M.D.

  • Diagnostic Radiology Physician
  • North Chesterfield, VA
  • NPI 1881677854
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1043416928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 SOUTH INTERNATIONAL PARKWAY",
            "address_2": "SUITE 1351 BLDG 3",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461401",
            "telephone_number": "407-333-4464",
            "fax_number": "407-333-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 SOUTH INTERNATIONAL PARKWAY",
            "address_2": "SUITE 1351 BLDG 3",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461401",
            "telephone_number": "407-333-4464",
            "fax_number": "407-333-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHROW IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "LAVELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "615-344-8203",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001115600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "V3203",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DN3311",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthy Smiles of Orlando LLC
• Hearing Healthcare Solutions, Inc.
• Heathrow Chiropractic Inc
• Heathrow Dental LLC
• Heathrow Family Chiropractic
• Heathrow Imaging LLC
• Heathrow Internal Medicine LLC
• Heathrow Psychology, LLC
• Heathrow Surgery Center LLC
• Heathrow Urgent Care Inc

• Diagnostic Radiology Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.