BORIS REZNIKOV (NPI# 1720242365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720242365 |
| Entity Type | Individual |
| Full Name | BORIS REZNIKOV |
| Credential | MD |
| Practice Address |
5936 Limestone Rd Suite 301 Hockessin DE 19707-8930 |
| Practice Telephone | 3022345800 |
| Practice Fax Number | 3022342380 |
| Mailing Telephone | 3022345800 |
| Mailing Fax Number | 3022342380 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2010-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
MT193775 | PA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C1-0009120 | DE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT193775 | PA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | RR MEDICARE | 1720242365 | 01 |
| DE | 1720242365 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649536608 | Boris Reznikov | Emergency Medicine | 1000 36th St, Vero Beach, FL 32960-4862 | 2012-04-04 |
| Street Address |
5936 LIMESTONE RD SUITE 301 |
| City | HOCKESSIN |
| State | DE |
| Zip Code | 19707-8930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104885821 | George W. Sheer IIi | Radiology | 5936 Limestone Rd, Suite 301, Hockessin, DE 19707-8905 | 2006-03-21 |
| 1093223570 | Samantha Jolly | Nurse Practitioner | 5936 Limestone Rd, Hockessin, DE 19707-8930 | 2018-01-18 |
| 1558818856 | Shanthi Balaraman | Nurse Practitioner | 5936 Limestone Rd, Suite 202, Hockessin, DE 19707-8930 | 2016-09-02 |
| 1730577214 | American Universal-hockessin LLC | Clinic/Center | 5936 Limestone Rd, Suite 101, Hockessin, DE 19707-8930 | 2015-01-06 |
| 1578984498 | Craig Smucker Md Orthopaedics | Clinic/Center | 5936 Limestone Rd, Suite 202, Hockessin, DE 19707-8930 | 2013-12-18 |
| 1053466581 | Robert Kacmarcik | Dentist | 5936 Limestone Rd, Suite 201, Hockessin, DE 19707-8930 | 2007-01-24 |
| 1083768766 | Hockessin Walk In Medical | Clinic/Center | 5936 Limestone Rd, Ste 301b, Hockessin, DE 19707-8932 | 2007-01-22 |
| 1215013347 | Imeliza Fernandez Avigliano | Family Medicine | 5936 Limestone Rd, Suite 202, Hockessin, DE 19707-8930 | 2006-10-31 |
| 1992758908 | Vinay K. Gheyi | Radiology | 5936 Limestone Rd, Suite 301, Hockessin, DE 19707-8905 | 2006-05-19 |
| 1497711675 | X-ray Associates P.a. | Specialist | 5936 Limestone Rd, Suite 301, Hockessin, DE 19707-8905 | 2006-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174036560 | Troy W Lea | Psychologist | 724 Yorklyn Rd Ste 315, Hockessin, DE 19707 | 2017-11-08 |
| 1073875100 | Amy Frazier | Pharmacist | 2012 Brackenville Road, Hockessin, DE 19707 | 2012-06-14 |
| 1871821322 | Bradley Stanford Why | Nurse Practitioner | 1423 Capitol Trail Drummond Plaza Office Park, Building 1, Suite 1107, Newark, DE 19707 | 2009-11-20 |
| 1003055427 | Dahra Jackson Williams | Psychologist | 710 Yorklyn Road, Hockessin, DE 19707 | 2009-02-09 |
| 1982869442 | Meg Myers | Social Worker | 724 Yorklyn Rd Ste 260, Hockessin, DE 19707 | 2008-07-24 |
| 1114145067 | Jennifer Smith Ravanesi | Pharmacist | Route 7 & Valley Road, Lantana Square, Hockessin, DE 19707 | 2007-04-23 |
| 1336277920 | Paula Marie Falasca | Physical Therapy Assistant | 720 Yorklyn Rd., Suite 150, Hockessin, DE 19707 | 2007-03-02 |
| 1073660031 | Jillann I Hounsell | Dentist | 500 Lantana Drive, Hockessin, DE 19707 | 2007-01-04 |
| 1295811297 | John Bradley | Physical Therapist | 720 Yorklyn Road, Suite 150, Hockessin, DE 19707 | 2006-10-31 |
| 1578519591 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 128 Lantana Dr, Hockessin, DE 19707 | 2006-05-25 |
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| 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 |
|---|---|---|---|---|
| 1306958368 | Fred T. Wang | Radiology | 12 Harvest Ln, Hockessin, DE 19707-2080 | 2006-08-31 |
| 1104885821 | George W. Sheer IIi | Radiology | 5936 Limestone Rd, Suite 301, Hockessin, DE 19707-8905 | 2006-03-21 |
| 1992758908 | Vinay K. Gheyi | Radiology | 5936 Limestone Rd, Suite 301, Hockessin, DE 19707-8905 | 2006-05-19 |
| 1598725046 | Carlos Pena | Radiology | 5936 Limestone Rd, Suite 301, Hockessin, DE 19707-8905 | 2006-03-27 |
| 1235199365 | Carlos Flores | Radiology | 5936 Limestone Rd, Suite 301, Hockessin, DE 19707-8905 | 2006-03-24 |
| 1275593311 | Stephen Z. Grahovac | Radiology | 5936 Limestone Rd, Suite 301, Hockessin, DE 19707-8905 | 2006-03-24 |
| 1134188709 | Paul J. Mccready | Radiology | 5936 Limestone Rd, Suite 301, Hockessin, DE 19707-8905 | 2006-03-21 |
| 1336108026 | Alberto Iaia | Radiology | 5936 Limestone Rd, Suite 301, Hockessin, DE 19707-8905 | 2006-03-21 |
| 1982663753 | Kert Anzilotti | Radiology | 5936 Limestone Rd, Suite 301, Hockessin, DE 19707-8905 | 2006-03-21 |
| 1649239427 | S. Barry Diznoff | Radiology | 5936 Limestone Rd, Suite 301, Hockessin, DE 19707-8905 | 2006-03-21 |
| Find all providers in HOCKESSIN | ||||
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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.