Organization Active NPI

North Port Diagnostic Imaging Center Inc

  • Specialist
  • North Port, FL
National Provider Identifier
1124219142
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTH PORT DIAGNOSTIC IMAGING CENTER INC
Practice address
14243 Tamiami TRL
North Port, FL 34287-2215
Phone
(941) 429-3180
Fax
(941) 429-3187
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Stephen Mark Ross, M.D.
Title
President
Phone
(941) 429-3180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

14243 Tamiami TRL
North Port, FL 34287-2215

Mailing address

3430 Tamiami TRL
Suite B
Port Charlotte, FL 33952-8127
Phone (941) 883-8383

National Provider Directory

National Provider Directory

Locations

3430 Tamiami Trl
Ste B
Pt Charlotte, FL 33952
Phone (941) 625-1420

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1124219142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 TAMIAMI TRL",
            "address_2": "SUITE B",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528127",
            "telephone_number": "941-883-8383",
            "fax_number": "941-883-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14243 TAMIAMI TRL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872215",
            "telephone_number": "941-429-3180",
            "fax_number": "941-429-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PORT DIAGNOSTIC IMAGING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-429-3180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.