Suncoast Medical Clinic, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

141168 Issued in FL

Legal business name

SUNCOAST MEDICAL CLINIC, LLC

Practice address

601 7TH St S
St Petersburg, FL 33701-4704

Phone

(727) 894-1818

Fax

(727) 824-8392

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By 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

Steven Cohen, MD

Title

Physician

Phone

(727) 894-1818

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Suncoast Medical Clinic LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Suncoast Medical Clinic LLC

  • Physical Therapy Clinic/Center
  • St Petersburg, FL
  • NPI 1205061140
  NPD tax ID
• Suncoast Medical Clinic LLC

  • Lithotripsy Clinic/Center
  • St Petersburg, FL
  • NPI 1265671812
  NPD tax ID

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730206756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 7TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014704",
            "telephone_number": "727-894-1818",
            "fax_number": "727-824-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 7TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014704",
            "telephone_number": "727-894-1818",
            "fax_number": "727-824-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-894-1818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "141168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FDA - FACILITY ID NUMBER",
            "identifier": "141168",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF HEALTH - MAMMO",
            "identifier": "JR0521400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "JR3252000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suncoast Medical Clinic LLC
• Suncoast Medical Clinic LLC
• Suncoast Medical Clinic LLC
• Suncoast Medical Clinic LLC
• Suncoast Medical Clinic LLC
• Suncoast Medical Equipment LLC (Suncoast Medical Supply)
• Suncoast Medicare Supply Co. Inc.
• Suncoast MSK, LLC
• Suncoast O2 Systems Inc.
• Suncoast Pediatric Therapy, Inc. (Suncoast Pediatric Therapy)

• Diagnostic Radiology Physician in St Petersburg, FL
• Providers in St Petersburg, 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 Aug 22, 2020; 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.