DOCTORS IMAGING GROUP LLC VASCULAR AND INTERVENTIONAL PHYSICIANS OFFIC (NPI# 1477563484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477563484 |
| Entity Type | Organization |
| Organization Name | DOCTORS IMAGING GROUP LLC VASCULAR AND INTERVENTIONAL PHYSICIANS OFFIC |
| Practice Address |
6685 Nw 9th Blvd Gainesville FL 32605-4206 |
| Mailing Address |
Po Box 147026 Gainesville FL 32614-7026 |
| Practice Telephone | 3523337847 |
| Practice Fax Number | 3523330990 |
| Mailing Telephone | 3523319729 |
| Mailing Fax Number | 3523310136 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | DR. DAN E WARE (PRESIDENT/ PRACTICING PHYSICIAN) |
| Authorized Official Telephone | 3523319729 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | DOCTORS IMAGING GROUP LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BC GROUP | 45280 | 01 |
| FL | 259303304 | 05 | |
| FL | AVMED GROUP | 270855 | 01 |
| FL | 259303300 | 05 | |
| FL | RRMC GROUP | CK3155 | 01 |
| Street Address |
6685 NW 9TH BLVD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649567876 | Joseph T Young | Physician Assistant | 6685 Nw 9th Blvd, Gainesville, FL 32605-4206 | 2011-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114242930 | Alkesh Ashwinkumar Amin | Radiology | Gainesville Radiology Group PC, 200 W Academy Street, Gainesville, GA 30501 | 2010-04-05 |
| 1245394220 | Imaging Services Pa | Radiology | 10415 Sw 23rd Ave, Gainesville, FL 32607-3564 | 2006-12-21 |
| 1922443183 | Stuart Joseph Deaderick | Radiology | 200 W Academy Street, Gainesville, GA 30501 | 2013-05-01 |
| 1316207202 | Timothy Justin Goede | Radiology | 6716 Nw 11th Pl Ste 200, Gainesville, FL 32605 | 2012-05-24 |
| 1083826630 | Amirali C. Moosavi | Radiology | 14540 John Marshall Hwy, Gainesville, VA 20155-1691 | 2007-05-04 |
| 1093889628 | Joseph Brady Mcdonald | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-0374 | 2006-11-17 |
| 1194775783 | Doctors Radiology Group of Gainesville LLC | Radiology | 6716 Nw 11th Place, Ste 200, Gainesville, FL 32605-4215 | 2006-05-12 |
| 1508820499 | Adam B. Winick | Radiology | 14540 John Marshall Hwy Ste 104, Gainesville, VA 20155-1693 | 2006-04-17 |
| 1336100544 | Brian Scott Geller | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-03-29 |
| 1093796161 | Alap Rutkumar Jani | Radiology | 1601 Sw Archer Rd, Va Nf/sg Diagnostic Imaging Dept Radiology, Gainesville, FL 32608-1135 | 2005-11-07 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
Please comment or provide details below to improve the information on DOCTORS IMAGING GROUP LLC VASCULAR AND INTERVENTIONAL PHYSICIANS OFFIC.
| 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.