DR. RYAN JOSEPH POLSELLI (NPI# 1396872263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396872263 |
Entity Type | Individual |
Full Name | DR. RYAN JOSEPH POLSELLI |
Credential | M.D. |
Practice Address |
118 Hampton Rd #106 Clearwater FL 33759-4109 |
Practice Telephone | 9126678654 |
Mailing Telephone | 9126678654 |
Enumeration Date | 2007-02-27 |
Last Update Date | 2015-05-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME 121176 | FL | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | ME 121176 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003112633A | 05 |
Street Address |
118 HAMPTON RD #106 |
City | CLEARWATER |
State | FL |
Zip Code | 33759-4109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487163119 | Neil Hook, O.d. and Associates, P.a. | Optometrist | 2679 Gulf To Bay Blvd # 560-570, Clearwater, FL 33759 | 2017-09-26 |
1306366224 | Caitlin Elise Sullivan | Chiropractor | 3000 Gulf To Bay Blvd Ste 201, Clearwater, FL 33759 | 2017-06-21 |
1881018851 | Monica Adam | Counselor | 3491 Gandy Blvd., Suite 201, Pinellas Park, FLORIDA 33759 | 2014-02-12 |
1174868509 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Dr, Bldg 31, Clearwater, FL 33759 | 2012-12-12 |
1336485762 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Drive, Clearwater, FL 33759 | 2012-12-12 |
1710245279 | Allison H Aschenbrenner | Physical Therapist | 2790 Gulf To Bay Boulevard, Suite C, Clearwater, FL 33759 | 2012-05-02 |
1538454954 | Elizabeth M Smith | Occupational Therapist | 4902 Creekside Drive Suite A, Clearwater, FL 33759 | 2011-06-14 |
1487886164 | Christina D Brown | Psychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 | 2009-08-14 |
1548408248 | Len F. Leeb | Counselor | 2641 Harbor Circle, Clearwater, FL 33759 | 2009-02-03 |
1750544615 | Dolphin II Diagostics Inc. | Contractor | 1700 N. Mcmullen Booth Rd Unit B-3, Clearwater, FL 33759 | 2008-07-09 |
Find all providers in zip 33759 |
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 |
---|---|---|---|---|
1548695521 | Jason Dona Messinger | Radiology | 1106 Druid Rd S Ste 302, Clearwater, FL 33756-3841 | 2013-09-09 |
1871842252 | Christine Lynne Felix | Radiology | 2028 Arbor Drive, Clearwater, FL 33760 | 2012-08-31 |
1003080730 | Gerald L Friedman | Radiology | 1882 Mccauley Rd, Clearwater, FL 33765-1511 | 2008-04-14 |
1992804934 | Lidia Linetsky | Radiology | 611 Druid Road East, Suite 302, Clearwater, FL 33756 | 2006-09-22 |
1366548760 | Gehad Anthony Aboud | Radiology | 501 S. Lincoln Ave., Ste#15, Clearwater, FL 33756 | 2006-09-15 |
1417927278 | David V Jelaso | Radiology | 80 Rogers St, #10a, Clearwater, FL 33756-5296 | 2006-01-25 |
1306839493 | Clearwater Resources Inc | Radiology | 2250 Drew Street, Clearwater, FL 33765 | 2005-08-24 |
1730470311 | Morton Plant Mease Health Services, Inc | Radiology | 400 Pinellas St, Suite 100, Clearwater, FL 33756 | 2011-04-29 |
1760773550 | Morton Plant Mease Health Services Inc | Radiology | 400 Pinellas St, Suite 101, Clearwater, FL 33756 | 2011-04-27 |
1326207093 | Michael Scott Portillo | Radiology | 300 Pinellas St, Clearwater, FL 33756-3804 | 2008-06-06 |
Find all providers in CLEARWATER |
City | CLEARWATER |
Zip Code | 33759 |
Please comment or provide details below to improve the information on DR. RYAN JOSEPH POLSELLI.
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.