IRVING RADIOLOGY, INC (NPI# 1346698669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346698669 |
| Entity Type | Organization |
| Organization Name | IRVING RADIOLOGY, INC |
| Practice Address |
4110 Center Pointe Dr Ste 210 Fort Myers FL 33916 |
| Mailing Address |
4110 Center Pointe Dr Ste 210 Fort Myers FL 33916-9424 |
| Practice Telephone | 6467252800 |
| Practice Fax Number | 8669081231 |
| Mailing Telephone | 6467252800 |
| Mailing Fax Number | 8669081231 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | DR. WINSTON DACOSTA IRVING JR. (PRINCIPAL) |
| Authorized Official Telephone | 6467252800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME116259 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2090 W First St, Apt 809, Fort Myers, FL 339013103 | 6467252800 |
| Street Address |
4110 CENTER POINTE DR STE 210 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251377 | Tamara Alvarez | Behavioral Analyst | 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 | 2019-08-21 |
| 1457853798 | Grant Community Residential Home | Community Health Worker | 2252 Wright Street (a), Fort Myers, FL 33916 | 2018-03-02 |
| 1811345887 | Alexis Walker | Specialist/Technologist | 1407 Gardenia Avenue, Fort Myers, FL 33916 | 2016-05-31 |
| 1629452347 | Ashley Ann Alberts | Nurse Practitioner | 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 | 2015-07-13 |
| 1932442837 | Nicolas Alonzo Bolanos | Counselor | 4150 Ford Street Extension, Fort Myers, FL 33916 | 2013-03-29 |
| 1588936785 | Optum Infusion Services 204, Inc. | Home Health | 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 | 2012-02-02 |
| 1700181047 | Michele Lintz | Case Manager/Care Coordinator | 1280 Maravilla Lane, Ft Myers, FL 33916 | 2011-01-18 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1942494687 | Benjamin M. Lowe | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916 | 2007-09-05 |
| 1881806545 | Ali Saharkhiz-langroodi | Psychiatry & Neurology | 3303 Winkler Extension, Fort Myers, FL 33916 | 2007-05-04 |
| Find all providers in zip 33916 | ||||
| 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 |
|---|---|---|---|---|
| 1669997961 | Sw Florida Radiology LLC | Radiology | 3949 Evans Ave Ste 301b, Fort Myers, FL 33901-9313 | 2017-08-08 |
| 1851752257 | Lillian Palmon | Radiology | 11250 Mahogany Run, Fort Myers, FL 33913-8114 | 2016-03-11 |
| 1770739260 | Winston Dacosta Irving | Radiology | 1244 Walden Dr, Fort Myers, FL 33901 | 2008-08-15 |
| 1366646424 | Louis Thomas Magas | Radiology | 6311 South Pointe Blvd, Fort Myers, FL 33919-4901 | 2007-06-13 |
| 1851330153 | David S Schwartz | Radiology | 3230 Cypress Marsh Dr, Fort Myers, FL 33905-6250 | 2006-06-05 |
| 1851345862 | Otto J Kunst | Radiology | 13151 Parkline Dr, Fort Myers, FL 33913-7929 | 2006-05-22 |
| 1124078241 | Adam Fueredi | Radiology | 3660 Broadway, Fort Myers, FL 33901-8005 | 2006-05-11 |
| 1235187808 | Gail M Santucci | Radiology | 8791 Conference Dr, Suite 1, Fort Myers, FL 33919-5822 | 2006-05-05 |
| 1538121116 | Laurie Lynn Gutstein | Radiology | 6013 W Riverside Dr, Fort Myers, FL 33919-1636 | 2006-04-06 |
| 1437121829 | Kenneth Michael Jacob | Radiology | 19460 Caladesi Dr, Fort Myers, FL 33967-5572 | 2006-02-01 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33916 |
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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.