RUSSELL N NUSYNOWITZ (NPI# 1588661532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588661532 |
| Entity Type | Individual |
| Full Name | RUSSELL N NUSYNOWITZ |
| Credential | M.D. |
| Practice Address |
2120 Lakeland Hills Blvd Lakeland FL 33805-2906 |
| Mailing Address |
621 Estates Pl Longwood FL 32779-2857 |
| Practice Telephone | 8636882334 |
| Practice Fax Number | 8635771167 |
| Mailing Telephone | 4074512069 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2012-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
ME78190 | FL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME78190 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 256418100 | 05 | |
| FL | RR MEDICARE | P00042108 | 01 |
| FL | BCBS OF FLORIDA | 46835 | 01 |
| Street Address |
2120 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750654000 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2012-02-17 |
| 1558634816 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2012-02-17 |
| 1184940330 | Regina Ason | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2010-04-13 |
| 1730352386 | Womens Imaging Center LLC | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2008-04-03 |
| 1316135429 | Darren P Chapman | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2007-10-15 |
| 1780894048 | Khurram Javed | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2007-05-23 |
| 1417920877 | Lawrence Robert Sowka | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2006-02-08 |
| 1316945595 | Gary J. Chappel | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2005-07-12 |
| 1700884988 | James F Zimmer | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013280361 | Radiology & Imaging Specialists of Lakeland Pa | Radiology | 1121 Lakeland Hills Blvd, Lakeland, FL 33805-4655 | 2012-02-17 |
| 1427049931 | Radiology & Imaging Specialists of Lakeland | Radiology | 2125 Crystal Grove Dr, Lakeland, FL 33801-6875 | 2005-11-03 |
| 1063032993 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 1417 Lakeland Hills Blvd Ste 104, Lakeland, FL 33805-3200 | 2020-04-21 |
| 1851803407 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2017-11-03 |
| 1487180659 | Central Florida Imaging of Lakeland LLC | Radiology | 1205 East Magnolia St, Suite 109, Lakeland, FL 33801 | 2017-05-10 |
| 1326404195 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 130 Pablo St, Lakeland, FL 33803-3818 | 2016-01-11 |
| 1427493931 | Tadeusz Ciszak | Radiology | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2013-05-10 |
| 1750654000 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2012-02-17 |
| 1649543992 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 2012-02-17 |
| 1558634816 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 | 2012-02-17 |
| Find all providers in LAKELAND | ||||
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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.