Professional Imaging Consultants Inc

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

HCC6141 Issued in FL

Legal business name

PROFESSIONAL IMAGING CONSULTANTS INC

Doing business as

Professional Imaging Consultants, Inc.

Practice address

7780 Lake Underhill Rd Ste 109
Orlando, FL 32822-8218

Phone

(407) 493-3979

Fax

(407) 678-9938

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edwin Mejias

Title

Cfo

Phone

(407) 493-3979

Specialties & licenses 1

Addresses

Other names 1

• Professional Imaging Consultants, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 2

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.

• Ronald Larry Blankstein, MD

  • Cardiovascular Disease Physician
  • Delray Beach, FL
  • NPI 1720044290
  NPD
• Jeremy D Havas, D.O

  • Diagnostic Radiology Physician
  • Ocala, FL
  • NPI 1043203003
  NPD

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1437170644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 LAKE UNDERHILL RD STE 109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228218",
            "telephone_number": "407-493-3979",
            "fax_number": "407-678-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 LAKE UNDERHILL RD STE 109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228218",
            "telephone_number": "407-493-3979",
            "fax_number": "407-678-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL IMAGING CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "MEJIAS",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-493-3979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "FL",
            "license": "HCC6141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Imaging Consultants, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Mae Lavender Proctor, DNP, APRN, BMTCN
• Shaina Marie Proctor, M.S.,CCC-SLP
• Adam Robert Procunier, APRN
• Karyn Elizabeth Proehl, PT, DPT
• Professional Imaging Centers Inc
• Professional Psychiatric Services, LLC
• Professional Registered Services, LLC (Dominique Register)
• Professional Senior Care and Consulting LLC
• Professionals Caring for Humanity Inc
• Bernadette Carol Profeta, M.D.

• Diagnostic Ultrasound Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Diagnostic Ultrasound Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.