NOUSHIN IZADIFAR HART


Address: 2776 Enterprise Rd, Suite 100, Orange City, FL 32763-8316
Phone: 3867741223

NOUSHIN IZADIFAR HART (NPI# 1699775866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699775866
Entity Type Individual
Full Name NOUSHIN IZADIFAR HART
Other Name NOUSHIN I HART
Credential MD
Practice Address 2776 Enterprise Rd
Suite 100
Orange City
FL 32763-8316
Practice Telephone 3867741223
Practice Fax Number 3867741507
Mailing Telephone 3867741223
Mailing Fax Number 3867741507
Enumeration Date 2005-07-28
Last Update Date 2012-07-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
ME112142 FL Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
0101248816 VA Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
036101984 IL Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
L5385 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX GROUP MEDICARE PIN 00250T 01
TX MEDICARE PTAN 8B1190 01
TX GROUP MEDICARE PIN 00251T 01

Office Location

Street Address 2776 ENTERPRISE RD
SUITE 100
City ORANGE CITY
State FL
Zip Code 32763-8316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194257592 Sarah Roche Nurse Practitioner 2776 Enterprise Rd, Orange City, FL 32763-8316 2017-04-03
1336495134 Taylor Langston Nurse Practitioner 2776 Enterprise Rd, Orange City, FL 32763-8316 2012-07-30
1720037989 Gregory L Ortega Specialist 2776 Enterprise Rd, Suite 100, Orange City, FL 32763-8316 2006-05-08
1336198407 Rene Cabeza Specialist 2776 Enterprise Rd, # 100, Orange City, FL 32763-8200 2006-05-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043852783 Khushboo Patel Nurse Practitioner 915 Harley Strickland Blvd, Orange City, FL 32763 2019-10-15
1598325466 Steves Hearingllc Hearing Aid Equipment 742 N Volucia Ave., Orange City, FL 32763 2019-06-13
1740762194 Jamie Elizabeth Price Speech-Language Pathologist 2705 Rebecca Lane Suite B, Orange City, FL 32763 2018-09-02
1841771821 Ashley Katherine Taylor Early Intervention Provider Agency 358 W Wisconsin Ave, Orange City, FL 32763 2018-08-27
1033636048 Kimberly Michelle Belk Social Worker 300 Treemonte Dr, Orange City, FL 32763 2017-08-30
1588198733 Adventist Health System/sunbelt, Inc. Clinic/Center 1320 Saxon Blvd, Orange City, FL 32763 2017-04-14
1629515333 Anewerface, Inc Clinic/Center Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 2017-01-20
1184073322 Carolyn Ann Damato Specialist/Technologist, Other 1350 13th Street, Orange City, FL 32763 2016-06-08
1225451784 Shamika Spencer Nurse Practitioner 932 Saxon Blvd Ste A, Orange City, FL 32763 2014-02-03
1972882314 Orange City Anesthesia Services LLC Anesthesiology 975 Town Center Dr Ste 100, Orange City, FL 32763 2011-08-16
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538160692 Gary Robert Graham Radiology 2776 Enterprise Rd # 100, Orange City, FL 32763-8316 2005-08-10
1801085162 Florida Oncology Network Pa Radiology 1055 Saxon Blvd, Orange City, FL 32763-8468 2007-10-23
1376528612 Alan R Forbes Radiology 2776 Enterprise Rd # 100, Orange City, FL 32763-8316 2005-12-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114539079 Mydoctoreb LLC Radiology 17407 Lotino Pl, Lutz, FL 33548-4815 2020-08-20
1417516600 Arthur J. Iglesias, M.d. P.a. Radiology 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 2019-06-11
1962970111 William A Assad, M.d. Radiology 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 2018-11-06
1508361361 Marian Ingram Radiology 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 2018-03-26
1376051870 Indian River Health Services Inc Radiology 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 2018-01-18
1417492497 Flagler Hospital, Inc. Radiology 97 Health Park Blvd, Saint Augustine, FL 32086-5777 2016-12-29
1447614441 Benjamin Spieler Radiology 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 2016-04-06
1629461371 Florida Oncology Tavares, LLC Radiology 2010 Nightingale Ln, Tavares, FL 32778-4361 2015-03-05
1285042036 Gulf Region Radiation Oncology Centers Radiology 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 2014-07-24
1962812917 Florida Oncology Partners LLC Radiology 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 2014-04-29
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Competitor

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City ORANGE CITY
Zip Code 32763

Improve Information

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Dataset Information

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.

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