CORY C DUFFEK (NPI# 1356391908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356391908 |
| Entity Type | Individual |
| Full Name | CORY C DUFFEK |
| Credential | M.D. |
| Practice Address |
8791 Conference Dr Fort Myers FL 33919-5822 |
| Practice Telephone | 2399383500 |
| Practice Fax Number | 2399383555 |
| Mailing Telephone | 2399383500 |
| Mailing Fax Number | 2399383555 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2014-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME 106216 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1338 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS FL | 148Z2 | 01 |
| FL | 002436400 | 05 | |
| FL | RR MEDICARE | P00899482 | 01 |
| Street Address |
8791 CONFERENCE DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-5822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235187808 | Gail M Santucci | Radiology | 8791 Conference Dr, Suite 1, Fort Myers, FL 33919-5822 | 2006-05-05 |
| 1053601229 | David Paul Johnson | Radiology | 8791 Conference Dr, Fort Myers, FL 33919-5822 | 2011-04-08 |
| 1386968865 | Priyanka Handa | Radiology | 8791 Conference Dr, Fort Myers, FL 33919-5822 | 2010-03-26 |
| 1801007646 | Jamal Samih Ksar | Radiology | 8791 Conference Dr, Suite 1, Fort Myers, FL 33919-5822 | 2007-05-24 |
| 1538243555 | Sharik Kabir Rathur | Radiology | 8791 Conference Dr, Suite 1, Fort Myers, FL 33919-5822 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| 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 |
| 1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
| 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 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
Please comment or provide details below to improve the information on CORY C DUFFEK.
| 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.