Active NPI
Marianna Radiology
- Specialist
- Marianna, FL
National Provider Identifier
1346202124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MARIANNA RADIOLOGY
- Practice address
- 4250 Hospital Dr
Marianna, FL 32446-1917 - Phone
- (850) 526-2200
- Fax
- (850) 718-2551
- NPI assigned
- Apr 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raul Olazabal, M.D.
- Title
- Owner/Partner
- Phone
- (337) 824-4403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
4250 Hospital Dr
Marianna, FL 32446-1917
Mailing address
PO Box 357
Jennings, LA 70546-0357
Phone (337) 824-4403
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Panama City, FL
- NPI 1356540124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346202124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 357",
"city": "JENNINGS",
"state": "LA",
"postal_code": "705460357",
"telephone_number": "337-824-4403",
"fax_number": "337-824-9731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 HOSPITAL DR",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324461917",
"telephone_number": "850-526-2200",
"fax_number": "850-718-2551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIANNA RADIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OLAZABAL",
"authorized_official_first_name": "RAUL",
"authorized_official_title_or_position": "OWNER/PARTNER",
"authorized_official_telephone_number": "337-824-4403",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.