NPIMap

Organization Active NPI

Manatee Memorial Hospital L P

  • Radiology Clinic/Center
  • Bradenton, FL
National Provider Identifier
1558020552
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MANATEE MEMORIAL HOSPITAL L P
Practice address
250 2ND St E # 1B
Bradenton, FL 34208-1029
Phone
(941) 746-5111
NPI assigned
Dec 17, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Steve Filton
Title
Vice President
Phone
(610) 768-3300

Other NPIs on the same Medicare enrollment 3

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 82

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

View all 82

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2305068Manatee Diagnostic Center250 2ND St East Suite 1B, Bradenton, FL 34208Certificate of waiverMay 22, 2028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060221000789 FL Part B Supplier - Clinic/Group Practice 2062309164 Receives reassigned benefits from 79 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bradenton, FL; Wimauma, FL; Lakewood Ranch, FL

National Provider Directory

National Provider Directory
Tax ID family
Firstcare Dba MMH13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

5245 33rd St E
Ste 32
Bradenton, FL 34203
Phone (941) 745-7559

300 Riverside Dr E
Ste 3000
Bradenton, FL 34208
Phone (941) 366-1155

250 2nd St E
Ste 3F
Bradenton, FL 34208
Phone (941) 745-6925

300 Riverside Dr E
Ste 1400
Bradenton, FL 34208
Phone (941) 749-0660

250 2nd St E
Ste 1B
Bradenton, FL 34208

633 75th St W
Palma Sola, FL 34209
Phone (941) 745-7311

11255 US Highway 301 N
Unit 105
Parrish, FL 34219
Phone (941) 357-5939

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

250 2ND St E # 1B
Bradenton, FL 34208-1029

Mailing address

250 2ND St E # 1B
Bradenton, FL 34208-1029
Phone (941) 746-5111

Other names 1

NPPES NPI Registry
  • Manatee Diagnostic Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2023.

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1558020552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 2ND ST E # 1B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081029",
            "telephone_number": "941-746-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 2ND ST E # 1B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081029",
            "telephone_number": "941-746-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANATEE MEMORIAL HOSPITAL L P",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manatee Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.