INNOVATIVE HEALTHCARE GROUP LLC (NPI# 1518413095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518413095 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE HEALTHCARE GROUP LLC |
| Practice Address |
9128 Strada Pl #10115 Naples FL 34108-2940 |
| Practice Telephone | 2392167083 |
| Mailing Telephone | 2392167083 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | MR. JIMMY DASCANI (CEO) |
| Authorized Official Telephone | 2392167083 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | INNOVATIVE HEALTHCARE GROUP LLC | 46 Main St Ste 148, Monsey, Ny 10952 |
| Street Address |
9128 STRADA PL #10115 |
| City | NAPLES |
| State | FL |
| Zip Code | 34108-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422262 | Alejandra Herrera Munoz | Occupational Therapist | 646 103rd Ave N, Naples, FL 34108 | 2018-10-08 |
| 1912402983 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 8863h Tamiami Trl N, Naples, FL 34108 | 2018-03-29 |
| 1861886863 | Zounds Hearing | Durable Medical Equipment & Medical Supplies | 9331 Tamiami Trail, Naples, FL 34108 | 2015-03-27 |
| 1750651220 | Dr. Alfonso Olivos, P.a. | Family Medicine | 873 101 Avenue N., Naples, FL 34108 | 2011-12-30 |
| 1083901367 | Gregory Alan Mazur | Podiatrist | 9915 Tamiami Trl N Ste 1, Naples, FL 34108 | 2011-07-07 |
| 1124253398 | G B Fisher IIi Do Pa | Ophthalmology | 875 105 Ave North, Naples, FL 34108 | 2009-05-18 |
| 1134378466 | Susanna Alis | Counselor | 9853 Tamiami Trl N Ste 227c, Naples, FL 34108 | 2008-09-10 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1285838219 | John Woolman Cox | Dermatology | 650 Bridgeway Lane, Naples, FL 34108 | 2007-06-13 |
| 1780888263 | Gerald Frank Levens | Family Medicine | 1175 Creekside Pkwy Ste 200, Naples, FL 34108 | 2007-06-11 |
| Find all providers in zip 34108 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1992082820 | Yungping Wang | Internal Medicine | 350 7th St N, Naples, FL 34102-5754 | 2011-11-06 |
| 1801181862 | Carl A Ruthman | Internal Medicine | 311 9th St N Ste 310, Naples, FL 34102-5889 | 2011-06-17 |
| 1093011769 | Naples Hma, LLC | Internal Medicine | 8300 Collier Blvd, Naples, FL 34114-3549 | 2011-01-28 |
| 1235443326 | Vishal P Patel | Internal Medicine | 311 9th St N Ste 100, Naples, FL 34102-5886 | 2010-07-30 |
| 1164684353 | Jose David Herazo-maya | Internal Medicine | 311 9th St N Ste 310, Naples, FL 34102-5889 | 2008-06-28 |
| 1497934376 | Anchor Health Centers Pa | Internal Medicine | 3021 Airport Pulling Rd N, Suite 103, Naples, FL 34105-3077 | 2007-10-29 |
| 1033204409 | Everett Harold Alsbrook Jr. | Internal Medicine | 680 2nd Ave N, Suite 201, Naples, FL 34102-5753 | 2006-10-03 |
| 1881792349 | Kenneth Bookman | Internal Medicine | 3021 Airport Pulling Rd N, Suite 103, Naples, FL 34105-3077 | 2006-09-20 |
| 1174621833 | Howard Cohen | Internal Medicine | 350 7th St N, Naples, FL 34102-5754 | 2006-09-20 |
| 1619997608 | Rocco J Santarelli | Internal Medicine | 311 9th St N Ste 100, Naples, FL 34102-5886 | 2006-07-20 |
| Find all providers in NAPLES | ||||
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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.