RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND (NPI# 1427049931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427049931 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND |
| Practice Address |
2125 Crystal Grove Dr Lakeland FL 33801-6875 |
| Mailing Address |
Po Box 20027 Tampa FL 33622-0027 |
| Practice Telephone | 8636882334 |
| Practice Fax Number | 8635770301 |
| Mailing Telephone | 8668047649 |
| Mailing Fax Number | 6147649147 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | MR. EDWARD J GOODEMOTE (CEO) |
| Authorized Official Telephone | 8636882334 |
| Authorized Official Credential | PHD, RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
========= | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 045292106 | 05 | |
| FL | 045292107 | 05 | |
| FL | 045292100 | 05 | |
| FL | 045292104 | 05 | |
| FL | 045292105 | 05 | |
| FL | BCBS OF FLORIDA | 00584 | 01 |
| FL | 045292101 | 05 | |
| FL | RR MEDICARE | CC6469 | 01 |
| FL | 045292103 | 05 |
| Street Address |
2125 CRYSTAL GROVE DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33801-6875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942751813 | Teresa M Colletti | Nurse Practitioner | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2016-10-17 |
| 1225589179 | Rodney Shawn Carter | Nurse Practitioner | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2016-10-16 |
| 1467866780 | Rekhaben Ramanbhai Suthar | Anesthesiology | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2014-06-14 |
| 1548526155 | Vascular Specialists of Lakeland, LLC | Surgery | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2012-04-09 |
| 1801185897 | Matthew P Buzzeo | Radiology | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2011-03-30 |
| 1336448562 | Neel D Karamsadkar | Radiology | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2011-03-28 |
| 1811216732 | Ritu Aparajita | Surgery | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2010-05-18 |
| 1023248648 | Michael K Gordon | Radiology | 2125 Crystal Grove Dr, Lakeland, FL 33801 | 2009-07-16 |
| 1871721167 | Joseph Daniel Mullen | Radiology | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2009-06-25 |
| 1427207968 | Venkat P Tummala | Radiology | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2008-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1932719242 | Jimia Watkins | Home Health Aide | 2410 Lakeview St, Lakeland, FL 33801 | 2020-08-03 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1013473206 | Madelyn Claire Burley | Occupational Therapist | 1215 East Orange Street, Lakeland, FL 33801 | 2019-02-13 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1689111502 | Daryl Dowding | Counselor | 390 Alcaia Rd., Lakeland, FL 33801 | 2017-01-30 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1588030894 | Donna Lee Buckner | Specialist/Technologist | 111 Mosswood Road, Lakeland, FL 33801 | 2015-08-20 |
| 1144635780 | Donna Paige Mccraney | Nurse Practitioner | 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 | 2014-06-23 |
| Find all providers in zip 33801 | ||||
| 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 |
|---|---|---|---|---|
| 1013280361 | Radiology & Imaging Specialists of Lakeland Pa | Radiology | 1121 Lakeland Hills Blvd, Lakeland, FL 33805-4655 | 2012-02-17 |
| 1063032993 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 1417 Lakeland Hills Blvd Ste 104, Lakeland, FL 33805-3200 | 2020-04-21 |
| 1851803407 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2017-11-03 |
| 1487180659 | Central Florida Imaging of Lakeland LLC | Radiology | 1205 East Magnolia St, Suite 109, Lakeland, FL 33801 | 2017-05-10 |
| 1326404195 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 130 Pablo St, Lakeland, FL 33803-3818 | 2016-01-11 |
| 1427493931 | Tadeusz Ciszak | Radiology | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2013-05-10 |
| 1750654000 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2012-02-17 |
| 1649543992 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2012-02-17 |
| 1558634816 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2012-02-17 |
| 1235401480 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 3021 Lakeland Highlands Rd, Ste 3, Lakeland, FL 33803-4339 | 2012-02-03 |
| Find all providers in LAKELAND | ||||
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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.