ICS RADIOLOGY, INC. (NPI# 1043554736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043554736 |
| Entity Type | Organization |
| Organization Name | ICS RADIOLOGY, INC. |
| Practice Address |
1800 Se Tiffany Ave Port St Lucie FL 34952-7521 |
| Mailing Address |
Po Box 452095 Sunrise FL 33345-2095 |
| Practice Telephone | 7723354000 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | GILBERT L DROZDOW (PRESIDENT) |
| Authorized Official Telephone | 9548382371 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225372907 | Ics Radiology, Inc. | Radiology | 411 Sweet Bay Ave, Plantation, FL 33324-8228 | 2012-11-19 |
| 1447509773 | Ics Radiology, Inc. | Radiology | 5000 West Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2012-08-31 |
| 1063760288 | Ics Radiology, Inc. | Radiology | 345 Jupiter Lakes Blvd Ste 100, Jupiter, FL 33458-7100 | 2012-08-20 |
| 1184088833 | Ics Radiology, Inc. | Radiology | 3020 Ne 32nd Ave, Apt 910, Fort Lauderdale, FL 33308-7221 | 2016-04-08 |
| 1558792002 | Ics Radiology, Inc. | Radiology | 2001 W 68th St, Hialeah, FL 33016-1801 | 2013-12-10 |
| 1104268580 | Ics Radiology, Inc. | Radiology | 901 Village Blvd Ste 702, West Palm Beach, FL 33409-1947 | 2013-07-25 |
| 1841534310 | Ics Radiology, Inc. | Radiology | 1619 Harrison Pkwy, Suite D2, Sunrise, FL 33323-2856 | 2012-11-21 |
| 1114261898 | Ics Radiology, Inc. | Radiology | 50 S Pointe Dr, Suite 503, Miami Beach, FL 33139-4767 | 2012-11-19 |
| 1508100298 | Ics Radiology, Inc. | Radiology | 1100 Nw 95th St, Miami, FL 33150-2038 | 2012-11-19 |
| 1336483106 | Ics Radiology, Inc. | Radiology | 3200 N Ocean Blvd, Suite 802, Fort Lauderdale, FL 33308-7152 | 2012-11-19 |
| Street Address |
1800 SE TIFFANY AVE |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-7521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929031 | James Michael D'amato | Anesthesiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2005-08-11 |
| 1578173035 | Geily Joanna Ward | Pharmacist | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2020-08-08 |
| 1740809433 | Kenoviah Heron | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2020-04-13 |
| 1659990760 | Jonathan C. Nilson | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2020-04-09 |
| 1538796081 | Brendan Lawrence Mahoney | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2020-03-25 |
| 1326675968 | Alec Colby Underhill | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2020-03-24 |
| 1205490372 | Kyle Nielsen | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2019-04-24 |
| 1134689987 | Chase Hemphill | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2019-03-20 |
| 1427517432 | Morgan Macintyre | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2019-03-19 |
| 1346709391 | Nicole Tobin | Student in an Organized Health Care Education/Training Program | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619441961 | Insight Radiology, Pllc | Radiology | 451 Sw Bethany Dr Ste 102, Port St Lucie, FL 34986-1964 | 2019-01-18 |
| 1790946291 | Lloyd Duncan Heilman | Radiology | 532 Se Walters Ter, Port St Lucie, FL 34983-3881 | 2008-06-18 |
| 1083663686 | Radiology Imaging Associates | Radiology | 1825 Se Tiffany Ave, Suite 104, Port St Lucie, FL 34952-7554 | 2006-05-09 |
| 1891762910 | Radiology Associates of The Treasure Coast Pa Inc | Radiology | 698 Sw Port St Lucie Blvd, Suite 109, Port St Lucie, FL 34953-1565 | 2006-03-07 |
| 1124091558 | Vijaya Vardhan Chundi | Radiology | 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 | 2006-02-08 |
| 1982058798 | Axon Medical Consultants, Pllc | Radiology | 451 Sw Bethany Dr, Ste. 102, Port St Lucie, FL 34986-1964 | 2016-04-18 |
| 1932443645 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2012-11-19 |
| 1215271945 | Sheridan Radiology Services of Virginia, Inc | Radiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2012-11-19 |
| 1609110345 | Sheridan Radiology Services of South Florida, Inc. | Radiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2012-11-19 |
| 1245574961 | Sheridan Radiology Services of Kentucky, Inc | Radiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2012-11-19 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.