Organization Active NPI

West Hernando Diagnostic & Mr Center

Doing business as West Hernando Diagnostic & MR Center Seven Hills

  • Diagnostic Radiology Physician
  • Spring Hill, FL
National Provider Identifier
1467429209
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WEST HERNANDO DIAGNOSTIC & MR CENTER
Doing business as
West Hernando Diagnostic & MR Center Seven Hills
Practice address
491 Mariner Blvd
Spring Hill, FL 34609
Phone
(352) 688-4111
Fax
(352) 688-7222
NPI assigned
Mar 1, 2006
Last updated
Jul 23, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
WEST HERNANDO DIAGNOSTIC & MR CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Ms. Karen Hayes Jr.
Title
Cfo
Phone
(352) 799-0046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

491 Mariner Blvd
Spring Hill, FL 34609

Mailing address

491 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 688-4111

Other identifiers 1

IdentifierTypeStateIssuer
272166004MedicaidFL

Other names 1

  • West Hernando Diagnostic & MR Center Seven Hills Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060808000086 FL Part B Supplier - Clinic/Group Practice 4880653195 Receives reassigned benefits from 53 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hudson, FL; Spring Hill, FL

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
West Hernando Diag Mr C

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1467429209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34609",
            "telephone_number": "352-688-4111",
            "fax_number": "352-688-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34609",
            "telephone_number": "352-688-4111",
            "fax_number": "352-688-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HERNANDO DIAGNOSTIC & MR CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST HERNANDO DIAGNOSTIC &  MR CENTER",
        "enumeration_date": "2006-03-01",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "352-799-0046",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272166004",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Hernando Diagnostic & MR Center Seven Hills",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Hernando Diagnostic & MR Center Seven Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.