Radiology Associates of the Treasure Coast PA Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RADIOLOGY ASSOCIATES OF THE TREASURE COAST PA INC

Practice address

698 SW Port St Lucie Blvd
Suite 109
Port St Lucie, FL 34953-1565

Phone

(772) 873-4525

Fax

(772) 873-4121

NPI assigned

Mar 7, 2006

Last updated

Aug 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Beaton, MDNPI 1639146640

Title

Physician Owner

Phone

(772) 873-4525

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

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.

• Ronald Beaton, MD

  • Diagnostic Radiology Physician
  • Port St Lucie, FL
  • NPI 1639146640
  Medicare reassignment NPD Authorized official
• George Michael Antaki, MD

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1962479964
  NPD (past)
• Todd Richard Schroeder, M.D.

  • Diagnostic Radiology Physician
  • Stuart, FL
  • NPI 1164490769
  NPD (past)
• Alexander N Vennos, MD

  • Diagnostic Radiology Physician
  • Port St Lucie, FL
  • NPI 1558339580
  NPD (past)
• Brian H Breslaw, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1366419384
  NPD (past)
• Andrew Elliott, MD

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1629046222
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472256000000",
    "number": "1891762910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349580071",
            "telephone_number": "866-263-3820",
            "fax_number": "866-857-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 SW PORT ST LUCIE BLVD",
            "address_2": "SUITE 109",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531565",
            "telephone_number": "772-873-4525",
            "fax_number": "772-873-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF THE TREASURE COAST PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2016-08-27",
        "status": "A",
        "authorized_official_last_name": "BEATON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "772-873-4525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER GROUP ID#",
            "identifier": "38457",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ7124",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlene Quintana Nunez
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• Cassandra P. Racanelli
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• Radiology Imaging Associates
• Radpod FL PLLC
• Ralph Joseph Raffa, M.D.
• Brianna Marie Ragosta, M.S., BCBA
• Diala Rahming

• Diagnostic Radiology Physician in Port St Lucie, FL
• Providers in Port St Lucie, 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 Aug 27, 2016; 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.