NPIMap

Organization Active NPI

Radiology Consultants PA

  • Diagnostic Radiology Physician
  • Winter Haven, FL
National Provider Identifier
1356530091
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY CONSULTANTS PA
Practice address
130 Bates Ave SW
Winter Haven, FL 33880-2953
Phone
(863) 293-1071
NPI assigned
Oct 18, 2007
Last updated
Nov 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Deanna Lepere
Title
Assistant Administrator
Phone
(863) 293-1071

Specialties & licenses 1

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

Addresses

Primary practice location

130 Bates Ave SW
Winter Haven, FL 33880-2953

Mailing address

PO Box 2317
Winter Haven, FL 33883-2317
Phone (863) 293-1071

Other identifiers 1

IdentifierTypeStateIssuer
CN1297OtherFLRR MEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Radiology Consultants P3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

130 Bates Ave SW
Winter Haven, FL 33880
Phone (863) 293-1071

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1356530091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2317",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338832317",
            "telephone_number": "863-293-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BATES AVE SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802953",
            "telephone_number": "863-293-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "LEPERE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "863-293-1071"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN1297",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

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