Physicians Regional Medical Center - Collier Blvd

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

4463 Issued in FL

Legal business name

PHYSICIANS REGIONAL MEDICAL CENTER - COLLIER BLVD

Practice address

8300 Collier Blvd
Naples, FL 34114-3549

Phone

(813) 899-6226

Fax

(813) 985-8006

NPI assigned

Oct 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ellis B. Norsoph, M.D.

Title

President

Phone

(813) 899-6220

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Physicians Regional Medical Center - Collier Blvd2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Physicians Regional Medical Center - Pine Ridge

  • Radiology Clinic/Center
  • Naples, FL
  • NPI 1174823207
  NPD tax ID

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1841590965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26309",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336236309",
            "telephone_number": "813-899-6226",
            "fax_number": "813-985-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143549",
            "telephone_number": "813-899-6226",
            "fax_number": "813-985-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS REGIONAL MEDICAL CENTER - COLLIER BLVD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "NORSOPH",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-899-6220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "4463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4463",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physician'S Managed Services Organization of Southwest Florida, LLC
• Physicians Day Surgery Center, LLC
• Physicians for Quality Healthcare, Inc.
• Physicians Hearing Institute, LLC
• Physicians Life Centers, LLC
• Physicians Regional Medical Center - Pine Ridge
• Physionetics LLC
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc

• Radiology Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.