NPIMap

Organization Active NPI

Professional Radiology Associates, P.a.

  • Specialist
  • Leesburg, FL
National Provider Identifier
1962521294
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PROFESSIONAL RADIOLOGY ASSOCIATES, P.A.
Practice address
212 N 2ND St
Leesburg, FL 34748-5103
Phone
(352) 435-0723
Fax
(352) 435-0724
NPI assigned
Mar 28, 2007
Last updated
Mar 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Mrs. Teresa A Hill
Title
Office Administrot
Phone
(352) 435-0723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X FL Primary

Addresses

Primary practice location

212 N 2ND St
Leesburg, FL 34748-5103

Mailing address

29750 US 19 N
Suite 205
Clearwater, FL 33761-1510
Phone (352) 435-0723

National Provider Directory

National Provider Directory

Locations

212 N 2nd St
Leesburg, FL 34748
Phone (352) 435-0723

Practitioners & affiliated clinicians

Practitioners 3

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1962521294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29750 US 19 N",
            "address_2": "SUITE 205",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611510",
            "telephone_number": "352-435-0723",
            "fax_number": "352-435-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 2ND ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485103",
            "telephone_number": "352-435-0723",
            "fax_number": "352-435-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RADIOLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE ADMINISTROT",
        "authorized_official_telephone_number": "352-435-0723",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.