DR. IAN T. NATHANSON (NPI# 1336258193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336258193 |
| Entity Type | Individual |
| Full Name | DR. IAN T. NATHANSON |
| Credential | MD |
| Practice Address |
1717 S Orange Ave Suite 100 Orlando FL 32806-2944 |
| Mailing Address |
Nemours Children&apos S Clinic Po Box 409992 Atlanta GA 30384-0001 |
| Practice Telephone | 4076507000 |
| Practice Fax Number | 4076507124 |
| Mailing Telephone | 9043903610 |
| Mailing Fax Number | 9042885890 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
ME55343 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1528293 | 05 | |
| FL | 061890000 | 05 |
| Street Address |
1717 S ORANGE AVE SUITE 100 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027867 | Wadih S. Macksoud | Orthopaedic Surgery | 1717 S Orange Ave, #103, Orlando, FL 32806-2944 | 2005-07-15 |
| 1700379385 | Children's Eyewear Center, Inc | Technician/Technologist | 1717 S Orange Ave, Orlando, FL 32806 | 2018-06-08 |
| 1255838462 | Mark Vincent Mandese | Technician/Technologist | 1717 S Orange Ave, Orlando, FL 32806-2944 | 2018-04-12 |
| 1700325693 | Daniela Galvez Moreno | Behavioral Analyst | 1717 S Orange Ave, Orlando, FL 32806 | 2017-02-13 |
| 1194108928 | Krisann Draves | Nurse Practitioner | 1717 S Orange Ave, Suite 100, Orlando, FL 32806 | 2015-06-29 |
| 1437567989 | Jessica S Pierce | Psychologist | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 | 2014-07-29 |
| 1609287481 | Maggie Hodges | Physical Medicine & Rehabilitation | 1717 S Orange Ave, Suite 101, Orlando, FL 32806-2944 | 2014-05-14 |
| 1619394384 | Aimee Molineaux | Dietitian, Registered | 1717 S Orange Ave, Suite #100, Orlando, FL 32806-2944 | 2014-03-19 |
| 1508298407 | Sandra Karen Conrad | Dietitian, Registered | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2946 | 2013-08-01 |
| 1841635463 | Michelle P Tellado | General Practice | 1717 S Orange Ave, Orlando, FL 32806-2944 | 2013-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861481343 | Luis A Faverio | Pediatrics | 60 W Gore Street, Orlando, FL 32806-1101 | 2005-10-18 |
| 1215589098 | Candace Marie Deluca | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2019-07-12 |
| 1902099658 | Shatha Wajih Yousef | Pediatrics | 13535 Nemours Pkwy, Nemours Childrens Hospital, Orlando, FL 32827-7402 | 2007-08-24 |
| 1215131032 | Aledie Amariah Navas | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2007-06-14 |
| 1548379308 | Colleen B. Dailey | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827 | 2006-08-29 |
| 1801905666 | David E. Geller | Pediatrics | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 | 2006-08-29 |
| 1881703650 | Mark Richard Weatherly | Pediatrics | 60 W Gore Street, Orlando, FL 32806-1101 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023385507 | Yanerys M Colon-cortes | Pediatrics | 2 Tampa General Cir # 5th, Tampa, FL 33606-3603 | 2011-11-28 |
| 1144537077 | Kidz Medical Services | Pediatrics | 6280 Sw 72nd St Ste 607, South Miami, FL 33143-4875 | 2010-09-14 |
| 1972829828 | Alicia Claudia Della Volpe | Pediatrics | 3200 Sw 60th Ct Ste 203, Miami, FL 33155-4070 | 2010-04-18 |
| 1437340676 | Marie Myrtha Gregoire-bottex | Pediatrics | 1580 Nw 10th Ave Fl 1, Miami, FL 33136-1013 | 2007-08-05 |
| 1629283460 | Claudia Fernandez | Pediatrics | 2301 N University Dr Ste 107, Pembroke Pines, FL 33024-3617 | 2007-05-14 |
| 1790889996 | Mario Rub | Pediatrics | 20776 W Dixie Hwy, Miami, FL 33180 | 2006-09-11 |
| 1083636443 | Daniel Hsu | Pediatrics | 3377 South State Rd 7, Suite 100, Wellington, FL 33449 | 2006-07-24 |
| 1538192281 | Shahriar Shahzeidi | Pediatrics | 1717 N Bayshore Drive, Suite 217, Miami, FL 33132-1013 | 2006-07-08 |
| 1255398368 | Robert C Beckerman | Pediatrics | 13621 Perdido Key Dr Unit W403, Pensacola, FL 32507-7488 | 2006-05-01 |
| 1255397295 | Oscar Alejandro Alea | Pediatrics | 12748 University Dr, Fort Myers, FL 33907-5634 | 2006-04-26 |
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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.