Douglas E Radish (NPI# 1053319335, PAC ID# 5395811251) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1053319335 |
| PAC ID by PECOS | 5395811251 |
| Professional Enrollment ID | I20080829000433 |
| Full Name | Douglas E Radish |
| Address |
24420 Sandhill Blvd Suite 101 Punta Gorda FL 33983-5292 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1982 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 24420 Sandhill Blvd, Suite 101, Punta Gorda, FL 33983-5292 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
24420 SANDHILL BLVD SUITE 101 |
| City | PUNTA GORDA |
| State | FL |
| Zip | 33983-5292 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian C Olby | Psychologist, Clinical | 56 Manizaks Ave, Punta Gorda, FL 33983-4223 | |
| Gregory James Hengel Jr. | Chiropractic | 24901 Sandhill Blvd, Unit 8, Punta Gorda, FL 33983-5207 | |
| Stanley M Dratler | General Practice | 24430 Sandhill Blvd, Unit 303, Punta Gorda, FL 33983-5216 | |
| Sergio E Valdivia | Physical Therapy | 24430 Sandhill Blvd, Unit 301, Punta Gorda, FL 33983-5216 | |
| Jennifer H Mendoza | Psychologist, Clinical | 25325 Rampart Blvd, Port Charlotte, FL 33983-6404 | |
| Tania Milagro Garcia | Clinical Social Worker | 2000 Rio De Janeiro Ave, Suite 5, Punta Gorda, FL 33983-8649 |
| City | PUNTA GORDA |
| Zip Code | 33983 |
| Specialty | OPTOMETRY |
| City + Specialty | PUNTA GORDA + OPTOMETRY |
Please comment or provide details below to improve the information on Douglas E Radish.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.