Jupiter Efl Imaging Center LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

JUPITER EFL IMAGING CENTER LLC

Doing business as

Jupiter Open Imaging Center

Practice address

875 Military TRL
Suite 101
Jupiter, FL 33458-5700

Phone

(561) 748-9828

Fax

(561) 748-2490

NPI assigned

Apr 6, 2006

Organization subpart

No

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

Authorized official

Name

Wanda Fogarty

Title

VP Imaging Services

Phone

(561) 838-3630

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jupiter Open Imaging Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Alan Davidson, MD

  • Diagnostic Radiology Physician
  • Puyallup, WA
  • NPI 1710941612
  NPD (past)
• Amar Suhas Patel, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1730241563
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1871555482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MILITARY TRL",
            "address_2": "SUITE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585700",
            "telephone_number": "561-748-9828",
            "fax_number": "561-748-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MILITARY TRL",
            "address_2": "SUITE 101",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585700",
            "telephone_number": "561-748-9828",
            "fax_number": "561-748-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER EFL IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "VP IMAGING SERVICES",
        "authorized_official_telephone_number": "561-838-3630"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272378600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jupiter Open Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jupiter Chiropractic PLLC (Arise Neuromuscular)
• Jupiter Compounding LLC (Jupiter Pharmacy)
• Jupiter Concierge Family Practice
• Jupiter Dental Group, PA
• Jupiter Drugs LLC (Jupiter Drugs)
• Jupiter Emergency Medical Specialist Inc
• Jupiter Eye Doctors, LLC
• Jupiter Eye Surgery Center LLC
• Jupiter Family Chiropractic
• Jupiter Family Dental PA

• Diagnostic Radiology Physician in Jupiter, FL
• Providers in Jupiter, 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 May 18, 2010; 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.