NPIMap

Organization Active NPI

Medical Center Radiology Group of DRS Curry Harding George & Eliscu

  • Diagnostic Radiology Physician
  • Orlando, FL
National Provider Identifier
1902965536
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MEDICAL CENTER RADIOLOGY GROUP OF DRS CURRY HARDING GEORGE & ELISCU
Practice address
20 West Kaley Street
Orlando, FL 32806-2931
Phone
(407) 423-5511
Fax
(407) 423-1930
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Dr. Mary Kathryn Garrett, MD
Title
Chief Executive Officer
Phone
(407) 423-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

20 West Kaley Street
Orlando, FL 32806-2931

Mailing address

20 West Kaley Street
Orlando, FL 32806-2931
Phone (407) 423-5511

Other identifiers 1

IdentifierTypeStateIssuer
053949000MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1902965536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WEST KALEY STREET",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062931",
            "telephone_number": "407-423-5511",
            "fax_number": "407-423-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WEST KALEY STREET",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062931",
            "telephone_number": "407-423-5511",
            "fax_number": "407-423-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER RADIOLOGY GROUP OF DRS CURRY HARDING GEORGE & ELISCU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-423-5511",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053949000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.