Active NPI
John D. Bartone, M.D.
- Diagnostic Radiology Physician
- St Petersburg, FL
National Provider Identifier
1215095401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME0061197
- Practice address
- 200 2ND Ave S
#504
St Petersburg, FL 33701-4313 - Phone
- (727) 502-9372
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME0061197 | FL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 174072 | NY |
Addresses
Primary practice location
200 2ND Ave S
#504
St Petersburg, FL 33701-4313
Mailing address
200 2ND Ave S
#504
St Petersburg, FL 33701-4313
Phone (727) 502-9372
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274280200 | Medicaid | FL | |
| 01091950 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0061197 | FL | MD | Diagnostic Radiology Physician |
| 174072 | NY | MD | Diagnostic Radiology Physician |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210464000000",
"number": "1215095401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 2ND AVE S",
"address_2": "#504",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014313",
"telephone_number": "727-502-9372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 2ND AVE S",
"address_2": "#504",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014313",
"telephone_number": "727-502-9372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTONE",
"first_name": "JOHN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2008-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME0061197",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "174072",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274280200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01091950",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.