Organization Active NPI

Proscan Imaging Naples LLC

  • Diagnostic Radiology Physician
  • Naples, FL
National Provider Identifier
1114918257
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PROSCAN IMAGING NAPLES LLC
Practice address
1020 Crosspointe Dr
Suite 3
Naples, FL 34110-0918
Phone
(239) 598-0035
Fax
(239) 598-0038
NPI assigned
Oct 28, 2005
Last updated
Jul 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Karen E Amaya
Title
Sr. Director, Corp. Admin.
Phone
(513) 924-5174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1020 Crosspointe Dr
Suite 3
Naples, FL 34110-0918

Mailing address

1020 Crosspointe Dr
Suite 3
Naples, FL 34110-0918
Phone (239) 598-0035

Other identifiers 1

IdentifierTypeStateIssuer
271416700MedicaidFL

National Provider Directory

National Provider Directory

Locations

1020 Crosspointe Dr
Ste 3
Naples, FL 34110

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1114918257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 CROSSPOINTE DR",
            "address_2": "SUITE 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100918",
            "telephone_number": "239-598-0035",
            "fax_number": "239-598-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CROSSPOINTE DR",
            "address_2": "SUITE 3",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100918",
            "telephone_number": "239-598-0035",
            "fax_number": "239-598-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSCAN IMAGING NAPLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "AMAYA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SR. DIRECTOR, CORP. ADMIN.",
        "authorized_official_telephone_number": "513-924-5174"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271416700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.