Active NPI
Pasco Imaging Consultants
- Diagnostic Radiology Physician
- Dade City, FL
National Provider Identifier
1124367370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PASCO IMAGING CONSULTANTS
- Practice address
- 13100 Fort King Road
Dade City, FL 33525-5294 - Phone
- (352) 521-1100
- Fax
- (813) 985-8006
- NPI assigned
- Feb 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ellis B. Norsoph, MD
- Title
- President/Ceo
- Phone
- (813) 899-6220
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | |||
| Neuroradiology Physician | 2085N0700X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Radiology Clinic/Center | 261QR0200X |
Addresses
Primary practice location
13100 Fort King Road
Dade City, FL 33525-5294
Mailing address
PO Box 20627
Tampa, FL 33622-0627
Phone (813) 899-6220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278038102 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
13100 Fort King Rd
Dade City, FL 33525
Phone (352) 521-1100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427241600000",
"number": "1124367370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20627",
"city": "TAMPA",
"state": "FL",
"postal_code": "336220627",
"telephone_number": "813-899-6220",
"fax_number": "813-985-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13100 FORT KING ROAD",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255294",
"telephone_number": "352-521-1100",
"fax_number": "813-985-8006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASCO IMAGING CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-07",
"last_updated": "2015-03-25",
"status": "A",
"authorized_official_last_name": "NORSOPH",
"authorized_official_first_name": "ELLIS",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "813-899-6220",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278038102",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.