MEDICUS DIAGNOSTIC INC (NPI# 1457515793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457515793 |
| Entity Type | Organization |
| Organization Name | MEDICUS DIAGNOSTIC INC |
| Practice Address |
9980 Central Park Blvd N Suite 116 Boca Raton FL 33428-1762 |
| Practice Telephone | 5612085515 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2012-04-25 |
| Authorized Official Name | FERNANDO LOPEZ-IVERN (OWNER) |
| Authorized Official Telephone | 5618930655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Street Address |
9980 CENTRAL PARK BLVD N SUITE 116 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495350 | Jorge A Rosario-mulinelli | Pediatrics | 9980 Central Park Blvd N, Ste 316, Boca Raton, FL 33428-1762 | 2005-05-27 |
| 1265094452 | Galaxy Labs LLC | Clinical Medical Laboratory | 9980 Central Park Blvd N, Boca Raton, FL 33428-1762 | 2019-07-08 |
| 1154895811 | Moran Kids | Orthopaedic Surgery | 9980 Central Park Blvd N, Boca Raton, FL 33428-1762 | 2019-01-16 |
| 1487189106 | Linsey Benjamin | Registered Nurse | 9980 Central Park Blvd N, Boca Raton, FL 33428-1762 | 2017-05-01 |
| 1528505898 | M.mohiuddin Pa | Family Medicine | 9980 Central Park Blvd N, Suite 312, Boca Raton, FL 33428-1762 | 2017-01-25 |
| 1720537244 | Courtney Jenista | Physician Assistant | 9980 Central Park Blvd N, Suite 222, Boca Raton, FL 33428-1762 | 2016-09-26 |
| 1346794005 | Alyssa Weiss-quittner | Marriage & Family Therapist | 9980 Central Park Blvd N, Suite 124, Boca Raton, FL 33428-1762 | 2016-08-11 |
| 1881047314 | Kidz Medical Services | Pediatrics | 9980 Central Park Blvd N, Suite 318, Boca Raton, FL 33428-1762 | 2016-07-20 |
| 1710337498 | Kidz Medical Services | Psychiatry & Neurology | 9980 Central Park Blvd N, Suite 122, Boca Raton, FL 33428-1762 | 2016-06-14 |
| 1699123695 | Kidz Medical Services | Pediatrics | 9980 Central Park Blvd N, Suite 206, Boca Raton, FL 33428-1762 | 2016-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345932 | Housecallspinedoctor.com, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 221 W Hallandale Beach Blvd # 346, Hallandale Beach, FL 33009-5441 | 2020-08-07 |
| 1265065924 | Affordable Portable Ultrasound LLP | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1211 Tech Blvd Ste 114, Tampa, FL 33619-7846 | 2020-02-20 |
| 1467016725 | Rtm Billing Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 685 S Ronald Reagan Blvd Ste 205, Longwood, FL 32750-6435 | 2019-04-23 |
| 1174081889 | Spectrum Geotech LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3313 Bartlett Blvd, Orlando, FL 32811-6401 | 2019-03-12 |
| 1386123503 | Afily8 Government Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5371 Nw 32nd Ct, Margate, FL 33063-1504 | 2018-08-08 |
| 1780178947 | Diagnostic Alianza Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8739 Sw 4th Ln, Miami, FL 33174-2438 | 2018-06-20 |
| 1407343031 | Imaging Health Solution LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6296 Corporate Ct Unit A201c, Fort Myers, FL 33919-3500 | 2018-04-19 |
| 1093211898 | Mobile Sound LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1774 Via Granada, Boynton Beach, FL 33426-8256 | 2018-04-02 |
| 1912409301 | Precision Medical Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5404 Gulfport Ter, Port Charlotte, FL 33981-2028 | 2018-03-01 |
| 1023540648 | Emerald Coast Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 48 Bald Eagle Dr, Santa Rosa Beach, FL 32459 | 2017-04-02 |
| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
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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.