NPIMap

Organization Active NPI

Bowes Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Sarasota, FL
National Provider Identifier
1104198258
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
HCC 9548 Issued in FL
Legal business name
BOWES IMAGING CENTER, LLC
Practice address
3900 Clark Rd
Suite P
Sarasota, FL 34233-2301
Phone
(941) 924-8600
Fax
(941) 924-2300
NPI assigned
Feb 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Mr. Nathan Bowes
Title
President & Ceo
Phone
(941) 924-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X HCC 9548 FL Primary

Addresses

Primary practice location

3900 Clark Rd
Suite P
Sarasota, FL 34233-2301

Mailing address

3900 Clark Rd
Suite P
Sarasota, FL 34233-2301
Phone (941) 924-4860

Other identifiers 1

IdentifierTypeStateIssuer
HCC9548OtherFLSTATE LICENSE

Other names 1

  • Axcess Diagnostics Pointe West Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121102000425 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1850352717 Practice locations: Sarasota, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

6015 Pointe West Blvd
Ste 102
Bradenton, FL 34209
Phone (941) 782-0490

6207 Cortez Rd W
Bradenton, FL 34210
Phone (941) 782-0490

3900 Clark Rd
Ste P
Sarasota, FL 34233
Phone (941) 924-8600

Networks

  • 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 & affiliated clinicians

Practitioners 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1104198258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD",
            "address_2": "SUITE P",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332301",
            "telephone_number": "941-924-4860",
            "fax_number": "941-924-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CLARK RD",
            "address_2": "SUITE P",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342332301",
            "telephone_number": "941-924-8600",
            "fax_number": "941-924-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWES IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "BOWES",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "941-924-8600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC 9548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "HCC9548",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axcess Diagnostics Pointe West",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.