NPIMap

Organization Active NPI

Radiology of MSMC, LLC

  • Diagnostic Radiology Physician
  • Hialeah, FL
National Provider Identifier
1336719814
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY OF MSMC, LLC
Practice address
6050 W 20TH Ave
Hialeah, FL 33016-2605
Phone
(305) 674-2680
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Wayne Chutkan
Title
Sr VP of Finance
Phone
(305) 674-2662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

6050 W 20TH Ave
Hialeah, FL 33016-2605

Mailing address

PO Box 11550
Miami, FL 33101-1550

National Provider Directory

National Provider Directory
Tax ID family
Radiology of MSMC LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1336719814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11550",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331011550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 W 20TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162605",
            "telephone_number": "305-674-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY OF MSMC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "CHUTKAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "SR VP OF FINANCE",
        "authorized_official_telephone_number": "305-674-2662"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.