NPIMap

Organization Active NPI

Morton Plant Health Services, Inc

Doing business as Carlisle Imaging Center

  • Specialist
  • Clearwater, FL
National Provider Identifier
1174504518
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MORTON PLANT HEALTH SERVICES, INC
Doing business as
Carlisle Imaging Center
Practice address
1240 S Fort Harrison Ave
Clearwater, FL 33756-3308
Phone
(727) 462-7514
NPI assigned
Nov 11, 2005
Last updated
Jan 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Mr. John Couris
Title
VP Operations
Phone
(727) 462-7746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1240 S Fort Harrison Ave
Clearwater, FL 33756-3308

Mailing address

P O Box 404841
Atlanta, GA 30384-0001
Phone (813) 852-3272

Other identifiers 1

IdentifierTypeStateIssuer
0636592-01MedicaidFL

Other names 1

  • Carlisle Imaging Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Morton Plant Mease Heal5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1174504518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 404841",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840001",
            "telephone_number": "813-852-3272",
            "fax_number": "813-852-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S FORT HARRISON AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563308",
            "telephone_number": "727-462-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTON PLANT HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "COURIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "727-462-7746",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0636592-01",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlisle Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carlisle Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.