DR. GARY ALAN KROSIN (NPI# 1942369210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942369210 |
Entity Type | Individual |
Full Name | DR. GARY ALAN KROSIN |
Credential | M.D. |
Practice Address |
2912 Sw Trailside Path Stuart FL 34997-9013 |
Mailing Address |
2912 Sw Trailside Path Stuart FL 34997-9012 |
Practice Telephone | 7722857799 |
Practice Fax Number | 7722644602 |
Mailing Telephone | 7722857799 |
Mailing Fax Number | 7722644602 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085B0100X |
Radiology Specialization: Body Imaging |
37516 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICAL LICENSE NUMBER | ME37516 | 01 |
Street Address |
2912 SW TRAILSIDE PATH |
City | STUART |
State | FL |
Zip Code | 34997-9013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
Find all providers in zip 34997 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073676532 | Physicians Imaging Center LLC | Radiology | 1050 Se Monterey Road, Suite #102, Stuart, FL 34994 | 2006-12-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033744925 | Florida Radiology Imaging At Lake Mary, LLC | Radiology | 1480 W Orange Blossom Trl, Apopka, FL 32712-2637 | 2020-03-11 |
1194298851 | Ernst Merceron | Radiology | 4649 Caverns Dr, Kissimmee, FL 34758-2504 | 2019-01-05 |
1548748098 | James Joseph Paul | Radiology | 11001 Gulf Reflections Dr, Fort Myers, FL 33908-8511 | 2018-08-06 |
1740776723 | Cor Imaging Center Inc | Radiology | 5423 N State Road 7, Tamarac, FL 33319-2921 | 2018-07-02 |
1407221096 | Total Diagnostic Solutions LLC | Radiology | 1225 Nw 40th Ave # 2a, Lauderhill, FL 33313-5801 | 2015-12-08 |
1891160487 | Total Diagnostic Solutions LLC | Radiology | 15105 Nw 77th Ave # 1a, Miami Lakes, FL 33014-7803 | 2015-12-08 |
1720453319 | Total Diagnostic Solutions LLC | Radiology | 8010 W Colonial Dr Ste 162, Orlando, FL 32818-6106 | 2015-12-08 |
1013381656 | Sandra Ramos Schneider | Radiology | 4300 S Us Highway 1, Suite 203-293, Jupiter, FL 33477-1198 | 2015-11-19 |
1992129324 | East Central Florida Outpatient Imaging, LLC | Radiology | 2090 Saxon Blvd, Suite A, Deltona, FL 32725-3251 | 2014-02-05 |
1386985190 | Holy Cross Hospital, Inc. | Radiology | 1115 S. Federal Highway, Fort Lauderdale, FL 33316 | 2013-03-05 |
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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.