ANGEL WILLIAMSON IMAGING CENTER P A – NPI #1710081013
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

ANGEL WILLIAMSON IMAGING CENTER P A is a radiologist located in PENSACOLA, FL. NPPES has assigned the NPI number 1710081013 to ANGEL WILLIAMSON IMAGING CENTER P A on September 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is PENSACOLA DIAGNOSTIC CENTER AND BREAST CLINIC ANGEL WILLIAMSON WOMENS. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 18 years ago on Jun 16, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANGEL WILLIAMSON IMAGING CENTER P A below.

NPI Profile for
ANGEL WILLIAMSON IMAGING CENTER P A

NPI Number
1710081013
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANGEL WILLIAMSON IMAGING CENTER P A
Former Legal Business Name: PENSACOLA DIAGNOSTIC CENTER AND BREAST CLINIC ANGEL WILLIAMSON WOMENS
Primary location
5120 BAYOU BLVD
SUITE 9
PENSACOLA, FL 32503
Phone: (850) 476-1161 Fax: (850) 476-1550
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL WILLIAMSON
ADMINISTRATOR
Phone: (850) 476-1161
Updated
Identifiers

Identifiers for ANGEL WILLIAMSON IMAGING CENTER P A

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS FLFLV2944
OTHERRAILROAD MEDICAREFLCA2365
MEDICAIDFL373112000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
FL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.