Fawcett Imaging Port Charlotte PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

FAWCETT IMAGING PORT CHARLOTTE PA

Practice address

21298 Olean Blvd
Port Charlotte, FL 33952-6705

Phone

(810) 230-9215

NPI assigned

Dec 2, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Ramanan Venkat

Title

President

Phone

(810) 230-9215

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Bruce Bielfelt, MD

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1619957370
  NPD (past)
• Anna M Macleod, PA-C

  • Physician Assistant
  • Alma, MI
  • NPI 1386185833
  NPD (past)
• Mark Weiss, MD

  • Vascular & Interventional Radiology Physician
  • Flint, MI
  • NPI 1609834019
  NPD (past)

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1710215728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 STONEBRIDGE DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325407",
            "telephone_number": "810-230-9215",
            "fax_number": "810-230-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21298 OLEAN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526705",
            "telephone_number": "810-230-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAWCETT IMAGING PORT CHARLOTTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "VENKAT",
        "authorized_official_first_name": "RAMANAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-230-9215",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Susan Farrenkopf, ACNP
• Michael Farris, RPH
• Shaheen Faruque, MD
• Ariel Faulkner, RD LD
• Alexa Fausey
• Fawcett Medical Imaging PA
• Fawcett Memorial Hospital, Inc. (Sports Rehab Center at HCA Florida Fawcett Hospital)
• Fawcett Memorial Hospital, Inc. (HCA Florida Fawcett Hospital)
• Fawcett Memorial Hospital, Inc. (Wound and Hyperbaric at HCA Florida Fawcett Hospital)
• Fawcett Memorial Hospital, Inc. (HCA Florida Fawcett Hospital)

• Diagnostic Radiology Physician in Port Charlotte, FL
• Providers in Port Charlotte, 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 2, 2009; 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.