Sun City Center Open MRI

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME40704 Issued in FL

Legal business name

SUN CITY CENTER OPEN MRI

Practice address

725 Cortaro Dr
Ruskin, FL 33573-6812

Phone

(813) 642-0887

Fax

(813) 633-6527

NPI assigned

Nov 6, 2006

Organization subpart

Yes

Parent organization

SIEGFRIED K HOLZ MD PAAs reported in NPPES

Name

Dr. Siegfried K Holz, MDNPI 1932388915

Title

President

Phone

(863) 646-8955

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

• Siegfried Karl Holz, M.D.

  • Diagnostic Radiology Physician
  • Lakeland, FL
  • NPI 1932388915

  Specialist

  NPD (past) Authorized official

Tax ID family

Tampa Bay Open MRI Tampa5 organizations share this tax ID, including this one

Part of

Tampa Bay Open MRI Tampa

Other organizations with this tax ID 4

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

• Precise Diagnostic Imaging of Brandon

  • Specialist
  • Brandon, FL
  • NPI 1215011994
  NPD tax ID
• Precise Diagnostic Imaging of Riverview

  • Specialist
  • Riverview, FL
  • NPI 1417141581
  NPD tax ID
• Siegfried K Holz MD PA

  • Specialist
  • Lakeland, FL
  • NPI 1922186121
  NPD tax ID
• Tampa Bay Open MRI (Tampa)

  • Specialist
  • Tampa, FL
  • NPI 1962586628
  NPD tax ID

Locations

• SIEGFRIED K HOLZ MD PA Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2015.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1245319508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131105",
            "telephone_number": "863-646-8955",
            "fax_number": "863-648-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CORTARO DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736812",
            "telephone_number": "813-642-0887",
            "fax_number": "813-633-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY CENTER OPEN MRI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIEGFRIED K HOLZ MD PA",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "HOLZ",
        "authorized_official_first_name": "SIEGFRIED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-646-8955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME40704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257741103",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V2920",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2376442",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIEGFRIED K HOLZ MD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lindsay Lastinger Sterry, DPT
• Monique Stevens
• Sun City Center Ambulatory Surgery Center, LLC
• Sun City Center Health and Wellness LLC
• Sun City Center Integrative Medicine LLC
• Sun Laboratory Services, Inc.
• Suncity Medical Center, LLC
• Suncoast Community Health Centers Inc
• Suncoast Community Health Centers Inc
• Suncoast Community Health Centers Inc

• All providers in Ruskin, FL
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.