Bluewater Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

BLUEWATER IMAGING, LLC

Practice address

1101 Trolley Rd
200
Summerville, SC 29485-5293

Phone

(843) 407-0551

Fax

(888) 434-2583

NPI assigned

Sep 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Richard B Clinton, M.D.NPI 1699769315

Title

Owner

Phone

(843) 640-1185

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Richard B Clinton, MD

  • Diagnostic Radiology Physician
  • Raleigh, NC
  • NPI 1699769315

  Diagnostic Radiology

  NPD Authorized official

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1295085231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TROLLEY RD",
            "address_2": "200",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855293",
            "telephone_number": "843-407-0551",
            "fax_number": "888-434-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TROLLEY RD",
            "address_2": "200",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855293",
            "telephone_number": "843-407-0551",
            "fax_number": "888-434-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEWATER IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-640-1185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlie Blankenship
• Brock Aaron Blecha
• Dennis R Blejski
• Bloom Endo, LLC
• Mary B. Blue, MA,CCC-SLP
• Craig Ashley Blum, M.D.
• Betty L Bly
• Liza Rachel Boaz, MSN, CNM
• Bodhi
• Melissa Marion Boerio

• All providers in Summerville, SC
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.