Organization Active NPI

Wellington Imaging Associates, P a

  • Diagnostic Radiology Physician
  • Clewiston, FL
National Provider Identifier
1689665499
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WELLINGTON IMAGING ASSOCIATES, P A
Practice address
524 W Sagamore Ave
Clewiston, FL 33440-3514
Phone
(863) 902-3000
NPI assigned
Nov 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Scott D RuehrmundNPI 1972556611
Title
Owner/President
Phone
(561) 358-1074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

524 W Sagamore Ave
Clewiston, FL 33440-3514

Mailing address

2715 Frank St
Eau Claire, WI 54703-2593
Phone (877) 779-0693

Other identifiers 2

IdentifierTypeStateIssuer
45694OtherFLBCBS
261942300MedicaidFL

National Provider Directory

National Provider Directory

Locations

524 W Sagamore Ave
Ste E
Clewiston, FL 33440

11337 Okeechobee Blvd
Royal Palm Beach, FL 33411
Phone (561) 795-5558

1435 S Osprey Ave
Ste 201
Sarasota, FL 34239
Phone (941) 953-5917

12798 Forest Hill Blvd
Ste 301
Wellington, FL 33414

2031 32nd St S
Ste 100
La Crosse, WI 54601

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1689665499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 FRANK ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032593",
            "telephone_number": "877-779-0693",
            "fax_number": "715-834-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W SAGAMORE AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403514",
            "telephone_number": "863-902-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON IMAGING ASSOCIATES, P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "RUEHRMUND",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "561-358-1074"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45694",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261942300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clewiston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.