Ultra Diagnostic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ULTRA DIAGNOSTIC

Practice address

3687 Tampa Rd
Suite 202
Oldsmar, FL 34677

Phone

(813) 814-2225

NPI assigned

Jun 29, 2007

Organization subpart

No

Name

Dr. Stephen Mark Mitchell, D.O.NPI 1538144191

Title

President

Phone

(727) 403-0113

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

• Stephen Mark Mitchell, D.O.

  • Emergency Medicine Physician
  • Clearwater, FL
  • NPI 1538144191
  NPD (past) Authorized official
• Angela Cecelia Hutson

  • Physician Office Based Coding Specialist
  • Oldsmar, FL
  • NPI 1285831511
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134326465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 WELLINGTON PKWY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851172",
            "telephone_number": "727-403-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3687 TAMPA RD",
            "address_2": "SUITE 202",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "34677",
            "telephone_number": "813-814-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-403-0113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Annette Tubolino, MS, CCC-SLP
• Michael Brian Turner, D.C.
• Ultra Diagnostic Imaging, Inc
• USA Spine LLC
• USA Spine LLC
• Tiffany Valby
• Jennifer Saum Vest, LDO

• All providers in Oldsmar, FL
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.