Sra Ventures Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SRA VENTURES INC

Practice address

2040 Short Ave
#103
Odessa, FL 33556-3445

Phone

(727) 835-1450

Fax

(727) 835-1470

NPI assigned

Oct 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Aboud, D.O.

Title

C.E.O.

Phone

(727) 835-1450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WESTCOAST RADIOLOGY Doing business as

Locations

Practitioners 1

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

• Mark David Herbst, M.D., PH.D.

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1225129083
  NPD (past)

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1295069672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S LINCOLN AVE",
            "address_2": "#15",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565945",
            "telephone_number": "727-446-6760",
            "fax_number": "727-441-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 SHORT AVE",
            "address_2": "#103",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563445",
            "telephone_number": "727-835-1450",
            "fax_number": "727-835-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRA VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "ABOUD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "727-835-1450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "E4187",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTCOAST RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Frank Spallino, M.D.
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• Spring Hill Anesthesiology, LLC
• St Timothy Urgent Care
• Suzanne E Stacey, RD, LD
• Star Point Family Health, LLC
• Starkey Emergency Physicians, LLC
• Starkey Ep, PLLC

• All providers in Odessa, FL
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.