Organization Active NPI

Amin Radiology Inc

Doing business as Dunnellon Open MRI

  • Specialist
  • Dunnellon, FL
National Provider Identifier
1871657148
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0055210 Issued in FL
Legal business name
AMIN RADIOLOGY INC
Doing business as
Dunnellon Open MRI
Practice address
11371 N Williams St
Suite 4
Dunnellon, FL 34432-8340
Phone
(352) 489-8987
Fax
(352) 489-8904
NPI assigned
Dec 21, 2006
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Ms. Connie M Finch
Title
Administrator
Phone
(352) 795-9200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0055210 FL Primary
Specialist 174400000X ME0070251 FL

Addresses

Primary practice location

11371 N Williams St
Suite 4
Dunnellon, FL 34432-8340

Mailing address

922 N Citrus Ave
Crystal River, FL 34428-3409
Phone (352) 795-9200

Other identifiers 1

IdentifierTypeStateIssuer
271558901MedicaidFL

Other names 1

  • DUNNELLON OPEN MRI Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040514000793 FL Part B Supplier - Clinic/Group Practice 3072503788 Receives reassigned benefits from 29 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Crystal River, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1871657148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 N CITRUS AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344283409",
            "telephone_number": "352-795-9200",
            "fax_number": "352-795-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11371 N WILLIAMS ST",
            "address_2": "SUITE 4",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344328340",
            "telephone_number": "352-489-8987",
            "fax_number": "352-489-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIN RADIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-795-9200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0055210",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0070251",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271558901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUNNELLON OPEN MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunnellon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.