MR. DONALD SPRAGUE PENDER (NPI# 1053664615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053664615 |
Entity Type | Individual |
Full Name | MR. DONALD SPRAGUE PENDER |
Practice Address |
3920 Nw 49th St Tamarac FL 33309-3308 |
Mailing Address |
390 Ne 93rd St Miami Shores FL 33138-2828 |
Practice Telephone | 9547302333 |
Practice Fax Number | 9547302337 |
Mailing Telephone | 7862986639 |
Mailing Fax Number | 9547302337 |
Enumeration Date | 2012-10-19 |
Last Update Date | 2012-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0205X |
Radiology Specialization: Radiological Physics |
TRP143 | FL | Allopathic & Osteopathic Physicians |
Street Address |
3920 NW 49TH ST |
City | TAMARAC |
State | FL |
Zip Code | 33309-3308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306801071 | Kelly John Warren | Dermatology | 3920 Nw 49th St, Tamarac, FL 33309 | 2006-04-18 |
1215433040 | David Mark Bower | Radiology | 3920 Nw 49th St, Tamarac, FL 33309-3308 | 2018-04-02 |
1831204221 | Alan Martin Perlmutter | Radiology | 3920 Nw 49th St, Tamarac, FL 33309-3308 | 2006-08-19 |
1730110503 | Horizon Medical Services,llc | Specialist | 3920 Nw 49th St, Tamarac, FL 33309-3308 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
Find all providers in zip 33309 |
Taxonomy Code | 2085R0205X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiological Physics |
A radiological physicist deals with the diagnostic and therapeutic applications of roentgen rays, gamma rays from sealed sources, ultrasonic radiation and radio-frequency radiation, as well as the equipment associated with their production and use, including radiation safety. |
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 |
---|---|---|---|---|
1477995553 | Zemei Liu | Radiology | Radiology University of Florida, 1600 Sw Archer Road, Gainesville, FL 32610-0001 | 2013-07-18 |
1992354302 | Michael Patrick Butkus | Radiology | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2019-09-09 |
1669910717 | Jerry George | Radiology | 8900 N Kendall Dr, 1r617, Miami, FL 33176-2118 | 2017-02-09 |
1336685239 | Jen Yu | Radiology | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2017-01-16 |
1598217036 | Usha Robins | Radiology | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2016-11-01 |
1912453721 | Diane Alvarez | Radiology | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2016-08-31 |
1477988186 | Kyle Padgett | Radiology | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2013-09-12 |
1447685599 | Yidong Yang | Radiology | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2013-09-09 |
1487092284 | Fei Yang | Radiology | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2013-06-13 |
1255682936 | Evangelos P Gavathas | Radiology | 6825 Sw 87th Ave, Miami, FL 33173-2502 | 2012-09-21 |
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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.