Beaches Open MRI of the Treasure Coast, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

BEACHES OPEN MRI OF THE TREASURE COAST, LLC

Practice address

1615 NW Federal Hwy
Stuart, FL 34994

Phone

(772) 878-5858

Fax

(772) 692-2480

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Andrew T Walker, MD

Title

Officer

Phone

(772) 878-5858

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Beaches MRI Doing business as

Locations

Practitioners 1

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

• Mark S. Frisk, M.D.

  • Specialist
  • Jacksonville Beach, FL
  • NPI 1831222165
  NPD

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1053427005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 NW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-878-5858",
            "fax_number": "772-692-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 NW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-878-5858",
            "fax_number": "772-692-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHES OPEN MRI OF THE TREASURE COAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "772-878-5858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "U2628",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265438500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaches MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Baumgartner, PA
• Keyla Bautista
• Marilyn Diann Bayens
• Jazmin Anjelina Bayona
• BC Medical Supply LLC
• Julianne Beacom, PHARMD
• Maryann Beades
• Tatiana Sierra Bealer
• Katie Lynne Beall
• Abbie Jo Bean

• Diagnostic Radiology Physician in Stuart, FL
• Providers in Stuart, 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 Nov 4, 2011; 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.