DR. ADAM J RUSKOWSKI (NPI# 1487974747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487974747 |
| Entity Type | Individual |
| Full Name | DR. ADAM J RUSKOWSKI |
| Credential | DO |
| Practice Address |
5900 S John Young Pkwy Orlando FL 32839-3716 |
| Mailing Address |
86 W Underwood St Ste 202 Orlando FL 32806-1110 |
| Practice Telephone | 4073986470 |
| Practice Fax Number | 4078946872 |
| Mailing Telephone | 4076496876 |
| Mailing Fax Number | 4078720544 |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2017-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | OS9823 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | UO2435 | FL | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009464400 | 05 | |
| FL | OS12322 | OS12322 | 01 |
| Street Address |
5900 S JOHN YOUNG PKWY |
| City | ORLANDO |
| State | FL |
| Zip Code | 32839-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973146 | Donald R Savage Jr. | Pediatrics | 5900 S John Young Pkwy, Orlando, FL 32839-3716 | 2005-06-21 |
| 1760089734 | Nicholas Alexander Dolan | Physician Assistant | 5900 S John Young Pkwy, Orlando, FL 32839-3716 | 2020-10-02 |
| 1245621127 | Principal Pediatric Group LLC | Pediatrics | 5900 S John Young Pkwy, Orlando, FL 32839-3716 | 2015-02-12 |
| 1598164741 | Jennifer Chester | Physician Assistant | 5900 S John Young Pkwy, Orlando, FL 32839-3716 | 2014-08-13 |
| 1316353667 | Patricia Louise Ambrosio | Pediatrics | 5900 S John Young Pkwy, Orlando, FL 32839-3716 | 2014-07-08 |
| 1407085798 | Samuel Aaron Stephenson | Pediatrics | 5900 S John Young Pkwy, Orlando, FL 32839-3716 | 2009-07-08 |
| 1316117153 | Lee Frederick Tosi | Anesthesiology | 5900 S John Young Pkwy, Orlando, FL 32839-3716 | 2008-03-07 |
| 1417141425 | Hemlata Reddy Gajjela | Pediatrics | 5900 S John Young Pkwy, Orlando, FL 32839-3716 | 2007-09-02 |
| 1144422080 | Maria Del Carmen Garcia | Pediatrics | 5900 S John Young Pkwy, Orlando, FL 32839-3716 | 2007-06-04 |
| 1760504419 | Oludapo Soremi | Pediatrics | 5900 S John Young Pkwy, Orlando, FL 32839-3716 | 2007-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916951 | Good Ole Days Adult Living Facility LLC | Assisted Living Facility | 3913 Trovati Street, Orlando, FL 32839 | 2020-06-15 |
| 1396399846 | Steven Outlaw | Specialist/Technologist | 216 Spencer St, Orlando, FL 32839 | 2019-08-01 |
| 1225517279 | Orlando Outpatient Surgery Center LLC | Clinic/Center | 1736 33rd St, Orlando, FL 32839 | 2018-08-10 |
| 1811406564 | Latonya Rouse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5214 Via Hacienda, 206, Orlando, FL 32839 | 2017-09-26 |
| 1154841153 | Jillisa Clobree Tarver | Technician, Other | 5451 Millenia Lakes Blvd Apt 186, Orlando, FL 32839 | 2017-06-21 |
| 1760917728 | Beatriz Baez | Health Educator | 4836 Ligustrom Way, Orlando, FL 32839 | 2017-04-27 |
| 1740637115 | Marines Vigo | Psychologist | 1114 Redman St, Apt B, Orlando, FL 32839 | 2016-05-16 |
| 1417332560 | Kimona Lawrence | Optometrist | 4200 Conroy Road, Orlando, FL 32839 | 2015-07-29 |
| 1942627732 | Jennifer Lombardo | Social Worker | 4530 S Orange Blossom Trl # 570, Orlando, FL 32839 | 2014-03-18 |
| 1336413863 | Cheryl Lynn Anderson | Social Worker | 3805 Millenia Blvd, #110, Orlando, FL 32839 | 2012-03-01 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329355 | Brittani Newport | Pediatrics | 10743 Narcoossee Rd Ste A13, Orlando, FL 32832-6946 | 2020-02-24 |
| 1467091959 | Jennifer Dolcater Ketchersid | Pediatrics | 2501 N Orange Ave Ste 586, Orlando, FL 32804-4603 | 2019-12-31 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1467977454 | Physician Associates LLC | Pediatrics | 14065 Town Loop Blvd Ste 300, Orlando, FL 32837-6199 | 2017-08-10 |
| 1609320837 | Starus Pediatrics LLC | Pediatrics | 6001 Vineland Rd Ste 103, Orlando, FL 32819-7829 | 2016-08-04 |
| 1942656517 | Vijay Mehta | Pediatrics | 60 W Gore St # Mp373, Orlando, FL 32806 | 2016-05-12 |
| 1124401674 | Kelsey Wehrenberg | Pediatrics | 83 Columbia St Ste 202, Orlando, FL 32806 | 2015-07-01 |
| 1396138319 | Premier Physician Associates LLC | Pediatrics | 13651 Hunters Oak Dr, Ste 101, Orlando, FL 32837-7679 | 2015-03-16 |
| 1073917076 | Abdollah Iravani Md Pa | Pediatrics | 2106 N Orange Ave # 100, Orlando, FL 32804-5535 | 2014-10-20 |
| 1720407620 | Christopher Dudek | Pediatrics | 86 W Underwood St Ste 200, Orlando, FL 32806-1110 | 2014-04-08 |
| Find all providers in ORLANDO | ||||
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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.