Angel Williamson Imaging Center P a

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ANGEL WILLIAMSON IMAGING CENTER P A

Practice address

5120 Bayou Blvd
Suite 9
Pensacola, FL 32503

Phone

(850) 476-1161

Fax

(850) 476-1550

NPI assigned

Sep 8, 2006

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Williamson, MD

Title

Administrator

Phone

(850) 476-1161

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Pensacola Diagnostic Center And Breast Clinic Angel Williamson Womens Former legal business name

Locations

Practitioners 2

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.

• Dale C. Newton, MD

  • Diagnostic Radiology Physician
  • Kissimmee, FL
  • NPI 1710989686
  NPD (past)
• Alka A. Wells, M.D.

  • Diagnostic Radiology Physician
  • Pensacola, FL
  • NPI 1477511160
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1710081013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 BAYOU BLVD",
            "address_2": "SUITE 9",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-476-1161",
            "fax_number": "850-476-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 BAYOU BLVD",
            "address_2": "SUITE 9",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32503",
            "telephone_number": "850-476-1161",
            "fax_number": "850-476-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL WILLIAMSON IMAGING CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-476-1161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA2365",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373112000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "V2944",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pensacola Diagnostic Center And Breast Clinic Angel Williamson Womens",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Diagnostic Radiology Physician in Pensacola, FL
• Providers in Pensacola, 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 Jun 16, 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.