North Florida Radiological Institute Inc

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

20496 Issued in MS

Legal business name

NORTH FLORIDA RADIOLOGICAL INSTITUTE INC

Practice address

1401 River Rd
Greenwood, MS 38930-4030

Phone

(601) 636-0097

Fax

(601) 629-9969

NPI assigned

Feb 15, 2010

Organization subpart

No

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

Authorized official

Name

Robert L Cirillo, MD

Title

Pres

Phone

(601) 636-0097

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1083936231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-636-0097",
            "fax_number": "601-629-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 RIVER RD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304030",
            "telephone_number": "601-636-0097",
            "fax_number": "601-629-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA RADIOLOGICAL INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "CIRILLO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "601-636-0097",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MS",
            "license": "20496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09958744",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Haven Chiropractic Clinic, LLC
• New Horizon Adult Day Care
• Nexion Health at Greenwood, Inc.
• Nhis Care
• North Central Mississippi Regional Cancer Center
• North Sunflower Medical Center
• North Sunflower Medical Center
• North Sunflower Medical Center
• North Sunflower Medical Center
• NW Mississippi Specialty Clinic

• Vascular & Interventional Radiology Physician in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Vascular & Interventional Radiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.