South Bay Hospital Outpatient Diag/Imaging Ctr

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SOUTH BAY HOSPITAL OUTPATIENT DIAG/IMAGING CTR

Practice address

4051 Upper Creek Dr
Suite 103
Sun City Center, FL 33573-6825

Phone

(813) 899-6226

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Ellis Norsoph, M.D.

Title

Head of Radiology

Phone

(813) 899-6226

Specialties & licenses 1

Addresses

Tax ID family

South Bay Hospital Outpatient Diagimaging Ctr2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Bay Hospital Outpatient Diagnostic/Imaging Center

  • Diagnostic Radiology Physician
  • Sun City Center, FL
  • NPI 1558528513
  NPD tax ID

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1093981490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6983 E. FOWLER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33617",
            "telephone_number": "813-899-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 UPPER CREEK DR",
            "address_2": "SUITE 103",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736825",
            "telephone_number": "813-899-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY HOSPITAL OUTPATIENT DIAG/IMAGING CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "NORSOPH",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_title_or_position": "HEAD OF RADIOLOGY",
        "authorized_official_telephone_number": "813-899-6226",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Goodale Smith, M.D.
• Sydney Kay Smith
• Zachary Snyder, PT, DPT
• Jamie Santos Solana, M.D.
• Sheida Soroory
• South Bay Hospital Outpatient Diagnostic/Imaging Center
• South Bay Imaging LLC
• South Bay Imaging, LLC
• South Bay Neurology and Total Spine Care, P.a.
• South Bay Surgical Group PA

• Diagnostic Radiology Physician in Sun City Center, FL
• Providers in Sun City Center, 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 May 6, 2008; 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.