ELIOT ANDREW BUDNICK (NPI# 1982857363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982857363 |
| Entity Type | Individual |
| Full Name | ELIOT ANDREW BUDNICK |
| Credential | D.O. |
| Practice Address |
451 Sw Bethany Dr Suite #102 Port St Lucie FL 34986-1964 |
| Practice Telephone | 7722022734 |
| Mailing Telephone | 7722022734 |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2013-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OS 10788 | FL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5101015931 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002276500 | 05 |
| Street Address |
451 SW BETHANY DR SUITE #102 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34986-1964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982058798 | Axon Medical Consultants, Pllc | Radiology | 451 Sw Bethany Dr, Ste. 102, Port St Lucie, FL 34986-1964 | 2016-04-18 |
| 1689066532 | Heather A. Craig | Nurse Practitioner | 451 Sw Bethany Dr, Suite 103, Port St Lucie, FL 34986-1964 | 2015-03-02 |
| 1619229473 | Icare | Radiology | 451 Sw Bethany Dr, Suite #102, Port St Lucie, FL 34986-1964 | 2012-10-03 |
| 1508005273 | St. Cloud Neurology, P.a. | Psychiatry & Neurology | 451 Sw Bethany Dr, Suite 101, Port St Lucie, FL 34986-1964 | 2009-02-19 |
| 1881800621 | Jeffrey Soon Bong | Radiology | 451 Sw Bethany Dr, Suite 102, Port St Lucie, FL 34986-1964 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| Find all providers in zip 34986 | ||||
| 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 |
|---|---|---|---|---|
| 1619441961 | Insight Radiology, Pllc | Radiology | 451 Sw Bethany Dr Ste 102, Port St Lucie, FL 34986-1964 | 2019-01-18 |
| 1790946291 | Lloyd Duncan Heilman | Radiology | 532 Se Walters Ter, Port St Lucie, FL 34983-3881 | 2008-06-18 |
| 1083663686 | Radiology Imaging Associates | Radiology | 1825 Se Tiffany Ave, Suite 104, Port St Lucie, FL 34952-7554 | 2006-05-09 |
| 1891762910 | Radiology Associates of The Treasure Coast Pa Inc | Radiology | 698 Sw Port St Lucie Blvd, Suite 109, Port St Lucie, FL 34953-1565 | 2006-03-07 |
| 1124091558 | Vijaya Vardhan Chundi | Radiology | 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 | 2006-02-08 |
| 1982058798 | Axon Medical Consultants, Pllc | Radiology | 451 Sw Bethany Dr, Ste. 102, Port St Lucie, FL 34986-1964 | 2016-04-18 |
| 1932443645 | Sheridan Radiology Services of Central Florida, Inc. | Radiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2012-11-19 |
| 1215271945 | Sheridan Radiology Services of Virginia, Inc | Radiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2012-11-19 |
| 1043554736 | Ics Radiology, Inc. | Radiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2012-11-19 |
| 1609110345 | Sheridan Radiology Services of South Florida, Inc. | Radiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2012-11-19 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34986 |
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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.