NICHOLAS FLORENCE (NPI# 1093100554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093100554 |
| Entity Type | Individual |
| Full Name | NICHOLAS FLORENCE |
| Credential | M.D. |
| Practice Address |
2650 Ridge Ave. Dept. of Radiology Evanston IL 60201 |
| Practice Telephone | 8475702475 |
| Mailing Telephone | 8475702475 |
| Mailing Fax Number | 8475702942 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2020-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036151532 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
125067926 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5841 S Maryland Ave, M/c 2026, Chicago, IL 606371447 | 7737023550 | 7738346237 |
| Street Address |
2650 RIDGE AVE. DEPT. OF RADIOLOGY |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407841414 | Sidney P. Regalado | Radiology | 2650 Ridge Ave., Department of Radiology, Evanston, IL 60201-1718 | 2005-09-15 |
| 1417554130 | Stephanie Rene Gerberding | Social Worker | 2650 Ridge Ave., Dept. of Psychiatry, Evanston, IL 60202-1011 | 2020-10-06 |
| 1376196006 | Brenna Selena Leiker | Physician Assistant | 2650 Ridge Ave., Emergency Medicine, Evanston, IL 60201-1718 | 2019-07-22 |
| 1225598022 | Lindsey Weder Zimmerman | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave., Department of Anesthesia, Evanston, IL 60201-1718 | 2019-03-20 |
| 1265996631 | Madeline S. Lubenow | Nurse Anesthetist, Certified Registered | 2650 Ridge Ave., Department of Anesthesia, Evanston, IL 60201-1718 | 2019-01-30 |
| 1295203768 | Gayathri S. Moorthy | Registered Nurse | 2650 Ridge Ave., Kellogg Cancer Center, Evanston, IL 60201-1718 | 2018-11-02 |
| 1700385077 | Glenna M Daugherty | Nurse Practitioner | 2650 Ridge Ave., Emergency Medicine, Evanston, IL 60201-1718 | 2018-02-01 |
| 1164942066 | Danijela Dokic | Internal Medicine | 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 | 2017-06-21 |
| 1417487612 | Julie Elaine Rzeszutko | Internal Medicine | 2650 Ridge Ave., Im Hospitalists Ste 4210, Evanston, IL 60201 | 2017-06-20 |
| 1144757154 | Bukurije Alijoski | Nurse Practitioner | 2650 Ridge Ave., Palliative Care, Evanston, IL 60201-1718 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| 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 |
|---|---|---|---|---|
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| 1639580699 | Comeron Ghobadi | Radiology | 2650 Ridge Ave # Mc2026, Evanston, IL 60201 | 2014-05-13 |
| 1649535782 | John Warren Ebersole | Radiology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1718 | 2012-07-04 |
| 1205122884 | Yousef Yasin | Radiology | 2650 Ridge Ave., Suite 1304, Northshore University Healthsystem, Academic Affairs, Evanston, IL 06020 | 2011-06-22 |
| 1700937018 | Andrew F Griffin | Radiology | 2650 Ridge Ave Ste G507, Evanston, IL 60201-1718 | 2007-01-15 |
| 1407841414 | Sidney P. Regalado | Radiology | 2650 Ridge Ave., Department of Radiology, Evanston, IL 60201-1718 | 2005-09-15 |
| 1699235846 | Fatima Elahi | Radiology | 355 Ridge Ave, Evanston, IL 60202-3328 | 2019-03-22 |
| 1265888754 | Zaneta Dymon | Radiology | 355 Ridge Ave, Evanston, IL 60202-3328 | 2016-05-13 |
| 1598119539 | Alexander Lionberg | Radiology | 2650 Ridge Ave, Evanston, IL 60201-1718 | 2016-04-15 |
| 1902290091 | Pankaj Chhabra | Radiology | 2650 Ridge Ave Ste 1304, Evanston, IL 60201-1700 | 2015-03-26 |
| Find all providers in EVANSTON | ||||
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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.