MARY FLORENE RADKE (NPI# 1679799696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679799696 |
| Entity Type | Individual |
| Full Name | MARY FLORENE RADKE |
| Credential | RN, LWMC |
| Practice Address |
500 Sawtell Pl Brunswick GA 31520-1224 |
| Practice Telephone | 9122656413 |
| Mailing Telephone | 9122656413 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
500 SAWTELL PL |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881170363 | Synergy Rehab Atlanta, LLC | Rehabilitation Practitioner | 3903 S Cobb Dr Se Ste 250, Smyrna, GA 30080-8504 | 2018-07-17 |
| 1316390107 | Total Wellness & Rehab Center LLC | Rehabilitation Practitioner | 153 Lee Byrd Rd, Loganville, GA 30052-2310 | 2016-07-18 |
| 1407226699 | Keisha Diallo | Rehabilitation Practitioner | 233 Ardsley Pl, Norcross, GA 30093-5207 | 2015-09-30 |
| 1235434283 | Advance Rehabilitation & Consulting Limited Partnership | Rehabilitation Practitioner | 100 Lindsey Ln Ste A, Saint Marys, GA 31558-1727 | 2011-01-24 |
| 1548587694 | Bryan Davis Beasley | Rehabilitation Practitioner | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2010-04-29 |
| 1992029987 | Henry Ogbuagu | Rehabilitation Practitioner | 743 Spring St Ne Ste 710, Gainesville, GA 30501-3715 | 2010-03-18 |
| 1760657159 | Pos Inc | Rehabilitation Practitioner | 1237 Salem Gate Way Se, Conyers, GA 30013-1637 | 2008-04-25 |
| 1598983728 | Yong Jian Liu | Rehabilitation Practitioner | 6244 Crooked Creek Rd, Ste B, Peachtree Corners, GA 30092-6137 | 2007-04-23 |
| 1144358904 | Douglas James Mackay | Rehabilitation Practitioner | 611 W Smith St, Claxton, GA 30417-1851 | 2007-03-01 |
| 1942386669 | Kung-hsi Fung | Rehabilitation Practitioner | 5522 New Peachtree Rd Ste 129, Chamblee, GA 30341-2544 | 2006-10-27 |
| Find all providers with the same taxonomy | ||||
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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.