DR. RONALD STEVE RUSIECKI (NPI# 1487859955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487859955 |
| Entity Type | Individual |
| Full Name | DR. RONALD STEVE RUSIECKI |
| Credential | M.D. |
| Practice Address |
1845 Holsonback Dr Daytona Beach FL 32117-5114 |
| Practice Telephone | 3862740790 |
| Practice Fax Number | 3862740800 |
| Mailing Telephone | 3862740790 |
| Mailing Fax Number | 3862740800 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2013-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
ME99031 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001252100 | 05 |
| Street Address |
1845 HOLSONBACK DR |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831158039 | Florida Department of Health | Public Health or Welfare | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2006-03-17 |
| 1891314308 | Martha Johnson | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2020-04-14 |
| 1164059663 | Kristina Michelle Miranda | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2020-03-25 |
| 1730724287 | Marisha Lasha Dixon | Nurse Practitioner | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2019-11-07 |
| 1003332115 | Danielle Nicole Fritts | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2017-08-21 |
| 1700302478 | Trina Denise Cowan | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2017-08-15 |
| 1154846970 | Christine Hulme | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2017-08-14 |
| 1083166714 | Danielle Lorraine Lindmeyer | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2016-10-28 |
| 1780136630 | Kerry Vierengel | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2016-10-26 |
| 1871045724 | Cristin Shea | Dental Hygienist | 1845 Holsonback Dr, Daytona Beach, FL 32117-5114 | 2016-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790761500 | Ukonu Ejie | Internal Medicine | 104 Lacosta Ln, Suite 120, Daytona Beach, FL 32114-8159 | 2005-12-22 |
| 1811994106 | Howard Martinez | Internal Medicine | Infectious Disease Department, 303 N Clyde Morris Blvd., Daytona Beach, FL 32114-2709 | 2005-07-01 |
| 1952738049 | Outreach Community Care Network, Inc. | Internal Medicine | 240 N Frederick Ave, Suite D, Daytona Beach, FL 32114-3400 | 2013-10-03 |
| 1134472087 | Premier Infectious Disease Consultants LLC | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2012-10-16 |
| 1144403403 | Tanuja Nimish Nemani | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2007-12-10 |
| 1023206745 | Alexandra Crossman Md Pa | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2007-10-09 |
| 1902094956 | Franklyn F Dontfraid M D P A | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2007-10-03 |
| 1184775488 | Richard J Duma | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2007-01-15 |
| 1518977032 | Halifax Healthcare Systems Inc | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-08-08 |
| 1023059862 | Alexandra Crossman | Internal Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2006-06-10 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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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.