Individual provider Active NPI

John D. Bartone, M.D.

  • Diagnostic Radiology Physician
  • St Petersburg, FL
National Provider Identifier
1215095401
Registry record updated May 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME0061197 Issued in FL
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

Updated by the provider on May 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
274280200MedicaidFL
01091950MedicaidNY

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

LicenseStateTypeSpecialty
ME0061197FLMDDiagnostic Radiology Physician
174072NYMDDiagnostic 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.

Verify at the official NPI Registry.