Active NPI
Charles R Anthony, M.D.
- Diagnostic Radiology Physician
- Brooksville, FL
National Provider Identifier
1609821958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0042079
- Practice address
- 13063 Cortez Blvd
Brooksville, FL 34613-4838 - Phone
- (352) 597-0016
- Fax
- (352) 597-8699
- NPI assigned
- May 24, 2006
- Last updated
- Oct 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0042079 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 0042079 | FL | Primary |
Addresses
Primary practice location
13063 Cortez Blvd
Brooksville, FL 34613-4838
Mailing address
PO Box 1175
New Port Richey, FL 34656-1175
Phone (727) 841-8225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069376600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0042079 | FL | MD | Diagnostic Radiology Physician |
| 9919 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Diagnostic Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates LLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates LLC | Diagnostic Radiology | Past | Accepting new patients |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Radiology Associates of West Pasco
- Diagnostic Radiology Physician
- New Port Richey, FL
- NPI 1467812388
-
dba Radiology Associates of West Pasco
- Diagnostic Radiology Physician
- Trinity, FL
- NPI 1558328963
-
dba Novant Health Imaging Rock Hill
- Diagnostic Radiology Physician
- Rock Hill, SC
- NPI 1003864299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444608000000",
"number": "1609821958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1175",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346561175",
"telephone_number": "727-841-8225",
"fax_number": "727-846-8549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13063 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346134838",
"telephone_number": "352-597-0016",
"fax_number": "352-597-8699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "CHARLES",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2015-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "0042079",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "0042079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069376600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.