Active NPI
Amin Radiology Inc
Doing business as Dunnellon Open MRI
- Specialist
- Dunnellon, FL
National Provider Identifier
1871657148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0055210
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271558901 | Medicaid | FL |
Other names 1
- DUNNELLON OPEN MRI
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Citrus Diagnostic Center
- Radiology Clinic/Center
- Crystal River, FL
- NPI 1700873981
O20040514000793
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Diagnostic Radiology Physician
- Decatur, GA
- NPI 1467680215
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.