NPIMap

Organization Active NPI

Radiology Physicians of Indian River County LC

  • Diagnostic Radiology Physician
  • Vero Beach, FL
National Provider Identifier
1982605291
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
RADIOLOGY PHYSICIANS OF INDIAN RIVER COUNTY LC
Practice address
3725 11TH Circle
Vero Beach, FL 32960-4804
Phone
(772) 562-0163
Fax
(772) 567-5631
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Mrs. Donna H Dion
Title
Business Manager
Phone
(772) 410-0155

Specialties & licenses 1

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

Addresses

Primary practice location

3725 11TH Circle
Vero Beach, FL 32960-4804

Mailing address

3725 11TH Circle
Vero Beach, FL 32960-4804
Phone (772) 562-0163

Other identifiers 2

IdentifierTypeStateIssuer
038000800MedicaidFL
K4539OtherFLBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3725 11th Cir
Vero Beach, FL 32960
Phone (772) 410-0155

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1982605291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 11TH CIRCLE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604804",
            "telephone_number": "772-562-0163",
            "fax_number": "772-567-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 11TH CIRCLE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604804",
            "telephone_number": "772-562-0163",
            "fax_number": "772-567-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY PHYSICIANS OF INDIAN RIVER COUNTY LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "DION",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "772-410-0155",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "038000800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "K4539",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.