Ormond Radiology Partnership LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ORMOND RADIOLOGY PARTNERSHIP LLC

Practice address

201 Bill France Blvd
Daytona Beach, FL 32114-1316

Phone

(386) 254-6800

Fax

(386) 254-6995

NPI assigned

Apr 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. JT Tener

Title

Human Resources/Credentialing

Phone

(386) 673-8040

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Open MRI of Daytona Doing business as

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1609832419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEMORIAL CIR",
            "address_2": "SUITE B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745054",
            "telephone_number": "386-673-8040",
            "fax_number": "386-267-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BILL FRANCE BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141316",
            "telephone_number": "386-254-6800",
            "fax_number": "386-254-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORMOND RADIOLOGY PARTNERSHIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "TENER",
        "authorized_official_first_name": "JT",
        "authorized_official_title_or_position": "HUMAN RESOURCES/CREDENTIALING",
        "authorized_official_telephone_number": "386-673-8040",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "V3003",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250976801",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CD5225",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open MRI of Daytona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orlando Vamc
• Orlando Vamc
• Orlando Vamc
• Denise Orlando, DMD
• Michael J Orlando, DMD
• Victor M. Ortega-Jimenez, MD
• Claudia Isabel Ortega
• Orthopaedic Center of Volusia, a FL General Partnership
• Orthopaedic Clinic of Daytona Beach PA
• Orthopaedic Clinic of Daytona Beach PA

• Diagnostic Radiology Physician in Daytona Beach, FL
• Providers in Daytona Beach, 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 Dec 9, 2008; 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.