Medical Imaging Professionals PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MEDICAL IMAGING PROFESSIONALS PA

Practice address

1000 Waterman Way
Attn: Radiology Dept
Tavares, FL 32778-5266

Phone

(352) 253-3333

Fax

(352) 253-3669

NPI assigned

Jan 6, 2006

Organization subpart

No

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

Authorized official

Name

Fred S Wittenstein, MD

Title

President

Phone

(352) 253-3333

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Idelisa Torres-Berastain, M.D.

  • Diagnostic Radiology Physician
  • Ocoee, FL
  • NPI 1407842024
  NPD (past)
• Rohan M Watson, MD

  • Diagnostic Radiology Physician
  • Tavares, FL
  • NPI 1629046040
  NPD (past)
• Jason Dale Roberts, MD

  • Diagnostic Radiology Physician
  • Fresno, CA
  • NPI 1508845579
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1528046745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14457",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337664457",
            "telephone_number": "727-793-9300",
            "fax_number": "727-712-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WATERMAN WAY",
            "address_2": "ATTN: RADIOLOGY DEPT",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785266",
            "telephone_number": "352-253-3333",
            "fax_number": "352-253-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING PROFESSIONALS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "WITTENSTEIN",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-253-3333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269797100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269797102",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher McCaskill, PA
• Grant Barry McGee, CRNA
• Aleen Joy McGowan
• Colleen Joy McIntyre, RN FIRST ASSISTANT
• Medical Cranial Hair Prosthetics
• Teodoro Medina, M.D.
• Mending Minds LLC
• April Smith Mendoza, M.D.
• Ariella Mendoza
• Claudia F Mercedes

• Diagnostic Radiology Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.