Active NPI
Physicians for a Community United for Research and Education LLC
- Nuclear Radiology Physician
- Zephyrhills, FL
National Provider Identifier
1578869392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- Legal business name
- PHYSICIANS FOR A COMMUNITY UNITED FOR RESEARCH AND EDUCATION LLC
- Practice address
- 7315 Green Slope Dr
Zephyrhills, FL 33541-1314 - Phone
- (813) 783-8614
- Fax
- (813) 783-8538
- NPI assigned
- Jan 27, 2011
- Last updated
- Mar 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shyam B Paryani, MD
- Title
- President
- Phone
- (904) 346-3338
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | NU | Primary | |
| Radiation Oncology Physician | 2085R0001X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | NU |
Addresses
Primary practice location
7315 Green Slope Dr
Zephyrhills, FL 33541-1314
Mailing address
PO Box 19675
Jacksonville, FL 32245-9675
Phone (904) 346-3338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000419806 | Medicaid | FL | |
| 33201 | Other | FL | BCBS |
National Provider Directory
National Provider Directory- Tax ID family
- Physicians for a Community United for Research and Education LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nuclear Radiology Physician
- Sebring, FL
- NPI 1740586460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299196800000",
"number": "1578869392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19675",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322459675",
"telephone_number": "904-346-3338",
"fax_number": "904-346-0815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7315 GREEN SLOPE DR",
"city": "ZEPHYRHILLS",
"state": "FL",
"postal_code": "335411314",
"telephone_number": "813-783-8614",
"fax_number": "813-783-8538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS FOR A COMMUNITY UNITED FOR RESEARCH AND EDUCATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-27",
"last_updated": "2011-03-04",
"status": "A",
"authorized_official_last_name": "PARYANI",
"authorized_official_first_name": "SHYAM",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-346-3338",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000419806",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "33201",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zephyrhills, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.