CRYSTAL BAY RADIOLOGY PA (NPI# 1841422441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841422441 |
| Entity Type | Organization |
| Organization Name | CRYSTAL BAY RADIOLOGY PA |
| Practice Address |
2568 Sweetgum Way W Clearwater FL 33761-3922 |
| Practice Telephone | 7277355356 |
| Practice Fax Number | 7277246477 |
| Mailing Telephone | 7277355356 |
| Mailing Fax Number | 7277246477 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-10-12 |
| Authorized Official Name | BEATA B NOWAKOWSKA (OWNER) |
| Authorized Official Telephone | 7277355356 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME80757 | FL | Other Service Providers |
| Street Address |
2568 SWEETGUM WAY W |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902431158 | James Robert Cook Jr. | Specialist | 2481 Sunset Point Rd, Clearwater, FL 33765-1514 | 2020-03-09 |
| 1215475587 | Daureen Pruszynski | Specialist | 2753 Highway 580, Suite 205, Clearwater, FL 33761-3345 | 2017-02-07 |
| 1598149072 | Kevin Christopher Votta | Specialist | 13825 Icot Blvd, Suite 600, Clearwater, FL 33760-3712 | 2015-07-15 |
| 1508153958 | April Ann Cook | Specialist | 600 Lakeview Rd., Suite E, Clearwater, FL 33756 | 2011-07-06 |
| 1700196516 | David F Abbott Jr. | Specialist | 2225 Building 37 Apt 102, Clearwater, FL 33764 | 2010-10-14 |
| 1811219553 | Ruth Marie Schopper-hughes | Specialist | 1721 Carlisle St, Clearwater, FL 33755-2306 | 2010-02-23 |
| 1245566991 | Jesse Ira Palmer | Specialist | 1621 Gulf Blvd Apt 501, Clearwater, FL 33767-2905 | 2009-10-29 |
| 1689808560 | Merle Annette Mullin | Specialist | 2401 Harn Blvd, Clearwater, FL 33764 | 2009-05-07 |
| 1558507772 | Charlene A Portman | Specialist | 754 N Belcher Rd, Clearwater, FL 33765-2138 | 2008-12-17 |
| 1548447501 | Jennifer Dawn Schroeppel | Specialist | 1004 Pineview Ave, Clearwater, FL 33756-4320 | 2008-01-22 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
Please comment or provide details below to improve the information on CRYSTAL BAY RADIOLOGY PA.
| 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.