Doctors Imaging Group LLC Vascular and Interventional Physicians Offic

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

DOCTORS IMAGING GROUP LLC VASCULAR AND INTERVENTIONAL PHYSICIANS OFFIC

Practice address

6685 NW 9TH Blvd
Gainesville, FL 32605-4206

Phone

(352) 333-7847

Fax

(352) 333-0990

NPI assigned

Aug 9, 2006

Organization subpart

Yes

Parent organization

DOCTORS IMAGING GROUP LLCAs reported in NPPES

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

Authorized official

Name

Dr. Dan E Ware, M.D.

Title

President/ Practicing Physician

Phone

(352) 331-9729

Specialties & licenses 1

Addresses

Other identifiers 5

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

CLIA laboratory certificates

Tax ID family

Doctors Imaging Group LLC5 organizations share this tax ID, including this one

Part of

Doctors Imaging Group LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Doctors Imaging Group LLC Putnam Radiology Office

  • Diagnostic Ultrasound Physician
  • Palatka, FL
  • NPI 1932119963
  NPD tax ID
• Doctors Imaging Group LLC West Office

  • Diagnostic Ultrasound Physician
  • Gainesville, FL
  • NPI 1043328776
  NPD tax ID
• Doctors Imaging Group, LLC East Office

  • Body Imaging Physician
  • Gainesville, FL
  • NPI 1558371625
  NPD tax ID
• Gainesville Radiology Group West, LLC

  • Diagnostic Radiology Physician
  • Gainesville, FL
  • NPI 1508869405
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Doctors Imaging Group LLC

  • Diagnostic Radiology Physician
  • Gainesville, FL
  • NPI 1134179989
  NPPES parent name

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1477563484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147026",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326147026",
            "telephone_number": "352-331-9729",
            "fax_number": "352-331-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6685 NW 9TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054206",
            "telephone_number": "352-333-7847",
            "fax_number": "352-333-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS IMAGING GROUP LLC VASCULAR AND INTERVENTIONAL PHYSICIANS OFFIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOCTORS IMAGING GROUP LLC",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/ PRACTICING PHYSICIAN",
        "authorized_official_telephone_number": "352-331-9729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED GROUP",
            "identifier": "270855",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC GROUP",
            "identifier": "CK3155",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259303304",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP",
            "identifier": "45280",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259303300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Dobson
• Kelton Doby
• Kirk P Dockendorf
• Nardley Docteur
• Doctors Imaging Group LLC
• Doctors Imaging Group LLC West Office
• Doctors Imaging Group, LLC East Office
• Doctors Radiology Group of Gainesville LLC
• Deidre Dodd
• Emma Dodd

• Vascular & Interventional Radiology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.