Active NPI
Osceola Radiology Associates PA
- Diagnostic Radiology Physician
- Kissimmee, FL
National Provider Identifier
1407838808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- OSCEOLA RADIOLOGY ASSOCIATES PA
- Practice address
- 700 W Oak St
Kissimmee, FL 34741-4924 - Phone
- (407) 846-2266
- Fax
- (407) 518-3158
- NPI assigned
- Nov 19, 2005
- Last updated
- Jan 14, 2022
- 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
- Susan C Holman
- Title
- Sr. Directore, RCM
- Phone
- (866) 674-7933
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
700 W Oak St
Kissimmee, FL 34741-4924
Mailing address
PO Box 160923
Altamonte Springs, FL 32716-0923
Phone (866) 674-7933
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA1725 | Other | RAILROAD MEDICARE | |
| 266896300 | Medicaid | FL | |
| 34765 | Other | FL | BC BS OF FLORIDA |
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, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Lynnwood, WA
- NPI 1295718260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642118400000",
"number": "1407838808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160923",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327160923",
"telephone_number": "866-674-7933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W OAK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414924",
"telephone_number": "407-846-2266",
"fax_number": "407-518-3158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSCEOLA RADIOLOGY ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-19",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A",
"authorized_official_last_name": "HOLMAN",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "SR. DIRECTORE, RCM",
"authorized_official_telephone_number": "866-674-7933"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA1725",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266896300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF FLORIDA",
"identifier": "34765",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
- Osceola Neurological Associates LLC
- Osceola OB-GYN PA
- Osceola Optical & Eye Care (Viviana del C. Lopez)
- Osceola Pathology Associates, PA
- Osceola Physician Management Inc (opm)
- Osceola Regional Hospital, Inc. (HCA Florida Osceola Hospital)
- Osceola Regional Hospital, Inc. (HCA Florida Osceola Hospital)
- Osceola Regional Hospital, Inc. (HCA Florida Osceola Hospital)
- Osceola Regional Hospital, Inc. (HCA Florida Osceola Hospital)
- Osceola Regional Hospital, Inc. (Behavioral Health Center at Osceola Regional Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.