NPIMap

Organization Active NPI

Women'S Diagnostic Center of Bethesda Inc.

  • Diagnostic Radiology Physician
  • Boynton Beach, FL
National Provider Identifier
1730626441
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WOMEN'S DIAGNOSTIC CENTER OF BETHESDA INC.
Practice address
10301 Hagen Ranch Rd.
Suite B-910
Boynton Beach, FL 33437-3778
Phone
(561) 736-1200
Fax
(561) 742-1919
NPI assigned
Jan 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Roger Kirk
Title
Ceo
Phone
(561) 736-1200

Specialties & licenses 1

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

Addresses

Primary practice location

10301 Hagen Ranch Rd.
Suite B-910
Boynton Beach, FL 33437-3778

Mailing address

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone (561) 736-1200

Other names 1

  • Bethesda Health Comprehensive Imaging Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Health Comprehensive Imaging Services3 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.

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1730626441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357969",
            "telephone_number": "561-736-1200",
            "fax_number": "561-742-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD.",
            "address_2": "SUITE B-910",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373778",
            "telephone_number": "561-736-1200",
            "fax_number": "561-742-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S DIAGNOSTIC CENTER OF BETHESDA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-736-1200"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Health Comprehensive Imaging Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.