COLLIER HMA NEUROLOGICAL VASCULAR MEDICAL GROUP, LLC (NPI# 1770880635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770880635 |
| Entity Type | Organization |
| Organization Name | COLLIER HMA NEUROLOGICAL VASCULAR MEDICAL GROUP, LLC |
| Practice Address |
6101 Pine Ridge Rd Naples FL 34119-3900 |
| Mailing Address |
5811 Pelican Bay Blvd Ste 500 Naples FL 34108-2733 |
| Practice Telephone | 2393484323 |
| Practice Fax Number | 2393484197 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
6101 PINE RIDGE RD |
| City | NAPLES |
| State | FL |
| Zip Code | 34119-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480941 | Moheb M Mohareb | Surgery | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2005-07-12 |
| 1053919241 | Christopher John Larson | Specialist/Technologist, Other | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-10-11 |
| 1699372672 | Kyle Harrington | Physician Assistant | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-10-03 |
| 1700495389 | Naples Hma LLC | Medicare Defined Swing Bed Unit | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-07-29 |
| 1295350411 | Tian Luo | Surgery | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-06-12 |
| 1891318481 | Capital Anesthesia Solutions of Florida II, LLC | Anesthesiology | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-05-18 |
| 1457986879 | Lory Ann Taraborelli | Clinical Nurse Specialist | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2020-03-05 |
| 1003453838 | Christina Elana Cibula | Nurse Anesthetist, Certified Registered | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-11-27 |
| 1124671367 | Rebecca Nicole Orr | Pharmacist | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-07-17 |
| 1174188999 | Carrie Daugherty | Nurse Anesthetist, Certified Registered | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2019-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
| 1033771993 | Stephanie N Chandler | Nurse Practitioner | 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 | 2019-07-01 |
| 1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
| 1437676350 | Brenda A Schlueter | Clinic/Center | 7070 Venice Way Apt 2904, Naples, FL 34119 | 2017-08-23 |
| 1457760548 | Loving Care Home Health Agency, Inc. | Home Health | 2590 Northbrooke Plaza Drive, Suite 208, Naples, FL 34119 | 2014-08-04 |
| 1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
| 1861832941 | Queanh N Phan | Dentist | 8855 Immokalee Rd, Suite 10, Naples, FL 34119 | 2013-07-03 |
| 1144505199 | Isabelle Faucher | Dietitian, Registered | 4522 Executive Dr Unit 103, Naples, FL 34119 | 2011-10-20 |
| 1528340973 | Amy Hemsworth | Pharmacist | 13520 Tamiami Trail N, Naples, FL 34119 | 2011-09-12 |
| 1437469970 | Marika Walker | Physician Assistant | 4513 Executive Dr., Naples, FL 34119 | 2010-10-18 |
| Find all providers in zip 34119 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1669715033 | Paul Clayton Hulsberg | Radiology | 350 7th St N, Naples, FL 34102-5754 | 2013-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100917 | Emergency and Interventional Specialists, Inc | Radiology | 5626 Gulf Dr Ste 100, New Port Richey, FL 34652-4020 | 2020-09-23 |
| 1548879794 | Vascular Specialist of Venice and Sarasota Pl | Radiology | 6600 University Parkway, #102, Sarasota, FL 34240 | 2020-07-23 |
| 1164060497 | Advanced Vascular Cardiac & Veins, Pllc | Radiology | 7480 Bird Rd Ste 560, Miami, FL 33155-6657 | 2019-12-17 |
| 1801437041 | Premier Interventional & Diagnostic Radiology, Corp | Radiology | 8495 Sw 56th St, Miami, FL 33155-5426 | 2019-09-30 |
| 1003476169 | Hss-florida Physicians LLC | Radiology | 1395 S State Road 7 Ste 410, Wellington, FL 33414-9327 | 2019-06-19 |
| 1972006351 | Minimally Invasive Vascular, Inc | Radiology | 2720 Us Highway 1 S Ste C, St Augustine, FL 32086-6301 | 2018-03-13 |
| 1124530761 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 313 W Bass St, Kissimmee, FL 34741-5011 | 2017-11-03 |
| 1942727516 | Inspired Interventional Radiology Services LLC | Radiology | 11011 Sheridan St Ste 102, Hollywood, FL 33026-1501 | 2017-08-24 |
| 1386004901 | Precision Medical Imaging and Therapeutic Institute LLC | Radiology | 2540 Green Forest Ln, Suite #101, Lutz, FL 33558-5388 | 2016-02-24 |
| 1598172405 | Warren Swee Md Pa | Radiology | 2580 Metrocentre Blvd Suite 3, West Palm Beach, FL 33407 | 2014-07-14 |
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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.