RX Imaging of SWFL LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

RX IMAGING OF SWFL LLC

Practice address

506 SE 47TH Ter
Suite a
Cape Coral, FL 33904-8517

Phone

(239) 541-5444

Fax

(239) 471-2674

NPI assigned

Jun 30, 2014

Organization subpart

No

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

Authorized official

Name

Alan L Tannenbaum, M.D.NPI 1235117342

Title

Owner

Phone

(239) 292-6669

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

RX Imaging of SWFL LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• RX Imaging of SWFL LLC

  • Diagnostic Radiology Physician
  • Cape Coral, FL
  • NPI 1356711329
  NPD tax ID
• RX Imaging of SWFL, LLC

  • Diagnostic Radiology Physician
  • Cape Coral, FL
  • NPI 1790184356
  NPD tax ID

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 Maximo (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.

• Michael Yuz, M.D.

  • Diagnostic Radiology Physician
  • Fort Lauderdale, FL
  • NPI 1710972617
  Medicare reassignment NPD
• Alan L Tannenbaum, MD

  • Internal Medicine Physician
  • Cape Coral, FL
  • NPI 1235117342
  NPD (past) Authorized official

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1528473402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 SE 47TH TER",
            "address_2": "SUITE A",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048517",
            "telephone_number": "239-541-5444",
            "fax_number": "239-471-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 SE 47TH TER",
            "address_2": "SUITE A",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048517",
            "telephone_number": "239-541-5444",
            "fax_number": "239-471-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX IMAGING OF SWFL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "TANNENBAUM",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-292-6669",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE CLINIC ESTABLISHMENT",
            "identifier": "606072",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE OF WAIVER",
            "identifier": "10D2082062",
            "state": "FM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013199600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam Rusindo Bermudez, APRN
• Dawn Russi, ARNP
• Carol Anne Russo, LMHC NCC
• Hanna Elaine Russo
• RX Imaging of SWFL LLC
• RX Imaging of SWFL, LLC
• Lidia E Ryan
• Angela Ryerson
• S & a Transport Corp
• S.P.O.T. Therapy Center

• Specialist in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.