Active NPI
Southeast Radiology Associates PA
- Diagnostic Neuroimaging (Radiology) Physician
- Brandon, FL
National Provider Identifier
1972725414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Neuroimaging (Radiology) Physician
- Legal business name
- SOUTHEAST RADIOLOGY ASSOCIATES PA
- Practice address
- 618 Vintage Way
Brandon, FL 33511-6366 - Phone
- (813) 689-8702
- Fax
- (813) 684-6392
- NPI assigned
- May 3, 2007
- Last updated
- Aug 27, 2009
- 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
- Richard R Six, M.D.
- Title
- President
- Phone
- (813) 689-8702
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | FL | Primary |
Addresses
Primary practice location
618 Vintage Way
Brandon, FL 33511-6366
Mailing address
618 Vintage Way
Brandon, FL 33511-6366
Phone (813) 689-8702
National Provider Directory
National Provider DirectoryLocations
4519 George Rd
Ste 110
Tampa, FL 33634
Practitioners & affiliated clinicians
Practitioners 2
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
- Brandon, FL
- NPI 1235181777
-
- Diagnostic Radiology Physician
- Boca Raton, FL
- NPI 1457342479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251331200000",
"number": "1972725414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 VINTAGE WAY",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116366",
"telephone_number": "813-689-8702",
"fax_number": "813-684-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 VINTAGE WAY",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116366",
"telephone_number": "813-689-8702",
"fax_number": "813-684-6392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST RADIOLOGY ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2009-08-27",
"status": "A",
"authorized_official_last_name": "SIX",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-689-8702",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
- Suppraja Soundarrajan, M.B.B.S
- South Brandon Imaging LLC (Total Imaging of Robertson)
- South Brandon Imaging LLC (Total Imaging Robertson)
- South Shore Cardiovascular Associates Inc
- Southeast Anesthesia and Pain Medicine LLC
- Southern Live in (southern live in of brandon)
- Southern Live in Inc (Southern Live-in of Brandon)
- Kelly Sue Southmayd, MS, CCC-SLP
- Southshore Homekare
- Graham Sowa, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.