Active NPI
Suncoast Diagnostic Inc
- Clinic/Center
- Sarasota, FL
National Provider Identifier
1417025669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SUNCOAST DIAGNOSTIC INC
- Practice address
- 5831 Bee Ridge Road, Suite 102
Sarasota, FL 34233-7822 - Phone
- (941) 730-1704
- NPI assigned
- Dec 4, 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
- Kenneth Mitchell Smith
- Title
- Cfo
- Phone
- (941) 266-7966
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Integrative Medicine Physician | 202D00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Radiology Clinic/Center | 261QR0200X | HCC5470 | FL |
Addresses
Primary practice location
5831 Bee Ridge Road, Suite 102
Sarasota, FL 34233-7822
Mailing address
5831 Bee Ridge Road, Suite 102
Sarasota, FL 34233-7822
Phone (941) 730-1704
Other names 1
- Choice Diagnostic Imaging
National Provider Directory
National Provider DirectoryLocations
10910 State Road 70 E
Ste 103
Lakewood Ranch, FL 34202
Phone (941) 755-5257
7458 N Tamiami Trl
Sarasota, FL 34243
Phone (813) 355-9324
1819 Main St
Ste 118
Sarasota, FL 34236
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Sarasota, FL
- NPI 1073624102
-
- Neurology Physician
- Sarasota, FL
- NPI 1124045695
-
- Diagnostic Radiology Physician
- El Segundo, CA
- NPI 1770522278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1417025669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5831 BEE RIDGE ROAD, SUITE 102",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342337822",
"telephone_number": "941-730-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5831 BEE RIDGE ROAD, SUITE 102",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342337822",
"telephone_number": "941-730-1704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNCOAST DIAGNOSTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2024-02-21",
"certification_date": "2024-01-29",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "MITCHELL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "941-266-7966"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "FL",
"license": "HCC5470",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Choice Diagnostic Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.