NPIMap

Organization Active NPI

Sun City Imaging LLC

Doing business as Total Imaging of Sun City

  • Diagnostic Radiology Physician
  • Sun City, FL
National Provider Identifier
1710088919
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SUN CITY IMAGING LLC
Doing business as
Total Imaging of Sun City
Practice address
3862 Sun City Center Blvd
Sun City, FL 33573
Phone
(813) 657-7575
Fax
(813) 684-3040
NPI assigned
Sep 26, 2006
Last updated
Aug 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Authorized official

Name
Mr. William B. Rutherford
Title
Senior VP
Phone
(615) 309-2190

Specialties & licenses 1

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

Addresses

Primary practice location

3862 Sun City Center Blvd
Sun City, FL 33573

Mailing address

3862 Sun City Center Blvd
Sun City, FL 33573
Phone (813) 657-7575

Other identifiers 3

IdentifierTypeStateIssuer
V3027OtherFLBCBS OF FL
272082500MedicaidFL
P00277443OtherFLRR MEDICARE

Other names 1

  • Total Imaging of Sun City Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1710088919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3862 SUN CITY CENTER BLVD",
            "city": "SUN CITY",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "813-657-7575",
            "fax_number": "813-684-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3862 SUN CITY CENTER BLVD",
            "city": "SUN CITY",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "813-657-7575",
            "fax_number": "813-684-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "SENIOR VP",
        "authorized_official_telephone_number": "615-309-2190",
        "authorized_official_name_prefix": "Mr."
    },
    "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 OF FL",
            "identifier": "V3027",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272082500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00277443",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Imaging of Sun City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.