Island Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ISLAND IMAGING, LLC

Practice address

40 Palmetto Parkway
Hilton Head Island, SC 29926

Phone

(843) 681-1999

Fax

(843) 681-5999

NPI assigned

Nov 5, 2018

Last updated

Jan 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Potter Shapiro, MDNPI 1821096645

Title

Member

Phone

(912) 547-5640

Specialties & licenses 1

Addresses

Other names 1

• SouthCoast Radiologists, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Patricia Potter Shapiro, M.D.

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1821096645

  SC

  Medicare reassignment NPD Authorized official
• David Theodore Estle Jr., M.D.

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1235138777

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1447728795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CAPTAIN'S CROSSING",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314112104",
            "telephone_number": "912-547-5640",
            "fax_number": "843-681-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PALMETTO PARKWAY",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "29926",
            "telephone_number": "843-681-1999",
            "fax_number": "843-681-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "POTTER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "912-547-5640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthCoast Radiologists, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stefan Alexandrov Ianchulev, MD
• Henry A Iannuzzi, DDS
• Inspire Psychological Services
• Irish Dental LLC
• Island Compounding Pharmacy LLC (Stephens Compounding Pharmacy)
• Island Manual & Sports Physical Therapy, LLC (Body Works)
• Island Nurses Healthcare Advocates LLC
• Island Physical Therapy & Sports Rehab
• Island Sleep Lab LLC
• Island Speech Therapy

• Diagnostic Radiology Physician in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.