NPIMap

Organization Active NPI

Ormond Radiology Partnership, L.L.C.

Doing business as Suncoast MRI of Ormond

  • Diagnostic Radiology Physician
  • Ormond Beach, FL
National Provider Identifier
1285690099
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ORMOND RADIOLOGY PARTNERSHIP, L.L.C.
Doing business as
Suncoast MRI of Ormond
Practice address
500 Memorial Cir
Suite E-2
Ormond Beach, FL 32174-5054
Phone
(386) 673-7056
Fax
(386) 673-7815
NPI assigned
Apr 21, 2006
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Ms. JT Tener
Title
Human Resources/Credentialing
Phone
(386) 673-8070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

500 Memorial Cir
Suite E-2
Ormond Beach, FL 32174-5054

Mailing address

500 Memorial Cir
Suite B
Ormond Beach, FL 32174-5054
Phone (386) 673-8040

Other identifiers 2

IdentifierTypeStateIssuer
V3002OtherFLBCBS GROUP NUMBER
CD5225OtherFLRR MEDICARE GROUP #

Other names 1

  • Suncoast MRI of Ormond Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ormond Radiology Partnership LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1285690099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEMORIAL CIR",
            "address_2": "SUITE B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745054",
            "telephone_number": "386-673-8040",
            "fax_number": "386-267-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEMORIAL CIR",
            "address_2": "SUITE E-2",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745054",
            "telephone_number": "386-673-7056",
            "fax_number": "386-673-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORMOND RADIOLOGY PARTNERSHIP, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "TENER",
        "authorized_official_first_name": "JT",
        "authorized_official_title_or_position": "HUMAN RESOURCES/CREDENTIALING",
        "authorized_official_telephone_number": "386-673-8070",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "V3002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CD5225",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncoast MRI of Ormond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.