West Hernando Diagnostic & Mr Center
Organization Active NPI Diagnostic Radiology Physician · Spring Hill, FL
NPI 1194955294 · NPPES record last updated Jul 23, 2021
Key facts
- NPI
- 1194955294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- WEST HERNANDO DIAGNOSTIC & MR CENTER
- Practice address
- 3389 Mariner Blvd
Spring Hill, FL 34609-2461 - Phone
- (352) 610-4394
- Fax
- (352) 610-4397
- NPI assigned
- Jul 23, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- WEST HERNANDO DIAGNOSTIC & MR CENTER
Authorized official
- Name
- Ms. Karen Hayes Jr.
- Title
- Cfo
- Phone
- (352) 799-0046
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 2
Practitioners 52
-
Adel Abdalla, M.D.
-
Harold A Bradfield, M. D.
-
Rachel Helen Braunstein, M.D.
-
Christina Duffin, MD
-
James Mark Esser, MD
-
Karen Marie Farris, M.D.
-
Alexander J Fernandez, M.D.
-
Manuel Correa Fortes, M.D.
-
Mark S Girguis, MD
-
Samuel Guirguis, D.O.
-
Sharon A Kane, MD
-
Maurice Emile Marchand, M.D.
-
Dale C. Newton, MD
-
James Ikemefuna Okoh, M.D.
-
Raymond J Perez, DO
-
Ali Raza, M.D.,
-
Michael A Rogoff, M.D.
-
Shafik N. Wassef, M.D.
-
Anika Nina Watson, M.D.
-
Zulfiqar Ali, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060808000086 | FL | Part B Supplier - Clinic/Group Practice | 4880653195 |
Receives reassigned benefits from 53 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hudson, FL; Spring Hill, FL |
National Provider Directory
- Tax ID family
- West Hernando Diagnostic Mr Center
- Part of
- West Hernando Diagnostic Mr Center
Locations
5341 Grand Blvd
Bldg 1
New Prt Rchy, FL 34652
Phone (727) 849-7644
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
3389 Mariner Blvd
Spring Hill, FL 34609-2461
Mailing address
3389 Mariner Blvd
Spring Hill, FL 34609-2461
Phone (352) 610-4394
Other names
- Women's Imaging Center
Other providers in Spring Hill, FL
- Emiko Wennerholt
- Philip Anthony Wessels
- West Coast Dental Partners
- West Coast Dental Partners
- West Coast Medical Crystal River, PA
- West Hernando Diagnostic & Mr Center
- West Hernando Diagnostic and M.R. Center, Inc
- West Pasco OB/GYN Center, P.a.
- Joyce R West
- Tiffany Dawn Westbrook
All providers in Spring Hill, FL · Diagnostic Radiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.