DR. RUSS TANNENBAUM (NPI# 1487727186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487727186 |
| Entity Type | Individual |
| Full Name | DR. RUSS TANNENBAUM |
| Credential | DC PA |
| Practice Address |
5800 Colonial Drive Ste 305 Margate FL 33063 |
| Practice Telephone | 9545874300 |
| Practice Fax Number | 9545874018 |
| Mailing Telephone | 9549792333 |
| Mailing Fax Number | 9549688468 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2015-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH4086 | FL | Chiropractic Providers |
| N | 111N00000X | Chiropractor | CH0004086 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 380428300 | 05 |
| Street Address |
5800 COLONIAL DRIVE STE 305 |
| City | MARGATE |
| State | FL |
| Zip Code | 33063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528035466 | Raymond Gailitis | Ophthalmology | 5800 Colonial Drive, Suite #100, Margate, FL 33063-5682 | 2006-02-28 |
| 1114199205 | Ophthalmology Consultants Pa | Ophthalmology | 5800 Colonial Drive, Suite #100, Margate, FL 33063-5682 | 2008-03-28 |
| 1649343120 | Barbara E Smith | Internal Medicine | 5800 Colonial Drive, #104, Margate, FL 33063 | 2006-11-15 |
| 1326141466 | Roberta Malat Randel | Audiologist | 5800 Colonial Drive, Suite 304, Margate, FL 33063 | 2006-09-06 |
| 1356318190 | William R. Burks | Ophthalmology | 5800 Colonial Drive, Suite #100, Margate, FL 33063-5682 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978734 | Ashley Bayliss | Counselor | Legacy Healing Center Margate, 2960 N State Road 7 Ste 102, Margate, FL 33063 | 2020-09-30 |
| 1366051872 | Tasheen Fletcher | Social Worker | 4716 West Atlantic Blvd, Coconut Creek, FL 33063 | 2020-07-30 |
| 1437768116 | Care for You Medical Center, LLC | Clinic/Center | 5412 West Atlantic Blvd, Margate, FL 33063 | 2020-07-28 |
| 1073130621 | Freedom of Speech Therapy Center | Clinic/Center | 6344 Duval Drive, Margate, FL 33063 | 2020-06-30 |
| 1326683558 | Timekia Miller | Nurse Practitioner | 6343 Harbor Bnd, Margate, FL 33063 | 2019-11-12 |
| 1487138236 | Kavine Annita Taylor-dyke | Nurse Practitioner | 272 Nw 80th Terrace, Margate, FL 33063 | 2018-09-18 |
| 1750890513 | Breath of Life Medical Center Inc | Internal Medicine | 5090 Coconut Creek Pkwy, Margate, FL 33063 | 2017-09-25 |
| 1881116796 | Stephanie Lola Backer | Nurse Practitioner | 5825 Toscana Place, Apt 206, Margate, FL 33063 | 2017-07-12 |
| 1346761384 | Kayan Oconnor Robinson | Technician, Other | 300 Lakewood Circle, Unit C, Margate, FL 33063 | 2017-06-29 |
| 1245610138 | Shailee B Patel | Dermatology | 3275 N. State Road 7, Margate, FL 33063 | 2015-06-04 |
| Find all providers in zip 33063 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275007759 | 441 Rehab Center | Chiropractor | 2482 N State Road 7, Margate, FL 33063-5743 | 2019-01-17 |
| 1265885271 | Jessica Leo | Chiropractor | 2515 N State Road 7 Ste 210, Margate, FL 33063-5758 | 2016-07-14 |
| 1902248537 | James Edwin Tosh | Chiropractor | 4900 W Atlantic Blvd, #6, Margate, FL 33063-5324 | 2013-07-24 |
| 1487942710 | London Chiropractic and Injury Center Inc. | Chiropractor | 7312 Royal Palm Blvd, Margate, FL 33063-6803 | 2011-07-20 |
| 1538466420 | Physical Medicine of South Florida | Chiropractor | 257 S State Road 7, Suite 7, Margate, FL 33068-5727 | 2011-02-11 |
| 1508004003 | Natalie Joy Rowles | Chiropractor | 1103 Banks Rd, Margate, FL 33063-6702 | 2009-01-22 |
| 1356563878 | Armand M Rossi | Chiropractor | 2700 N. State Road 7, Margate, FL 33063 | 2007-05-03 |
| 1164644696 | Margate Pain Treatment Center, Inc. | Chiropractor | 101 North State Road 7, Suite 109, Margate, FL 33063 | 2007-05-03 |
| 1750500583 | John Peck Mcmann Jr. | Chiropractor | 2700 N State Road 7, Margate, FL 33063-5726 | 2007-04-24 |
| 1871612481 | Dean Anthony Spirelli | Chiropractor | 4974 W Atlantic Blvd, Margate, FL 33063-5300 | 2007-03-28 |
| Find all providers in MARGATE | ||||
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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.