MARK HILBORN (NPI# 1750380457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750380457 |
Entity Type | Individual |
Full Name | MARK HILBORN |
Credential | MD |
Practice Address |
13813 Metro Pkwy Fort Myers FL 33912-4343 |
Mailing Address |
2675 Winkler Ave Fl 2 Fort Myers FL 33901-9342 |
Practice Telephone | 2399361343 |
Mailing Telephone | 8778563774 |
Enumeration Date | 2005-07-15 |
Last Update Date | 2020-02-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036101049 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 0361010491 | 05 | |
IL | RAILROAD MEDICARE | 300104799 | 01 |
Street Address |
13813 METRO PKWY |
City | FORT MYERS |
State | FL |
Zip Code | 33912-4343 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194723569 | Daniel Louis Axelrod | Internal Medicine | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2005-07-11 |
1265076988 | Cortlon Hartz | Physical Therapist | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2019-11-06 |
1891260360 | Cathy Jean Larino | Physical Therapist | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2018-10-10 |
1982110847 | Olena V Bauer | Nurse Practitioner | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2017-12-14 |
1548712821 | Barbara Jean Kropacek | Dietitian, Registered | 13813 Metro Pkwy, Suite 203, Fort Myers, FL 33912-4343 | 2016-11-02 |
1467812768 | Talonda Williams | Nurse Practitioner | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2016-02-29 |
1750764346 | Cassady Lozzi | Physical Therapist | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2015-07-01 |
1821498098 | Marva Deane Lynch-phelps | Nurse Practitioner | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2014-08-25 |
1912310509 | Kimberly Hogan | Nurse Practitioner | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2014-06-11 |
1780004564 | Coram Alternate Site Services, Inc. | Clinic/Center | 13813 Metro Pkwy, Fort Myers, FL 33912-4343 | 2014-04-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
Find all providers in zip 33912 |
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 |
---|---|---|---|---|
1669997961 | Sw Florida Radiology LLC | Radiology | 3949 Evans Ave Ste 301b, Fort Myers, FL 33901-9313 | 2017-08-08 |
1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
1851752257 | Lillian Palmon | Radiology | 11250 Mahogany Run, Fort Myers, FL 33913-8114 | 2016-03-11 |
1770739260 | Winston Dacosta Irving | Radiology | 1244 Walden Dr, Fort Myers, FL 33901 | 2008-08-15 |
1366646424 | Louis Thomas Magas | Radiology | 6311 South Pointe Blvd, Fort Myers, FL 33919-4901 | 2007-06-13 |
1851330153 | David S Schwartz | Radiology | 3230 Cypress Marsh Dr, Fort Myers, FL 33905-6250 | 2006-06-05 |
1851345862 | Otto J Kunst | Radiology | 13151 Parkline Dr, Fort Myers, FL 33913-7929 | 2006-05-22 |
1124078241 | Adam Fueredi | Radiology | 3660 Broadway, Fort Myers, FL 33901-8005 | 2006-05-11 |
1235187808 | Gail M Santucci | Radiology | 8791 Conference Dr, Suite 1, Fort Myers, FL 33919-5822 | 2006-05-05 |
1538121116 | Laurie Lynn Gutstein | Radiology | 6013 W Riverside Dr, Fort Myers, FL 33919-1636 | 2006-04-06 |
Find all providers in FORT MYERS |
City | FORT MYERS |
Zip Code | 33912 |
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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.