DR. RUSTICO H. DIZON (NPI# 1134382393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134382393 |
| Entity Type | Individual |
| Full Name | DR. RUSTICO H. DIZON |
| Credential | M.D. |
| Practice Address |
4529 Dewsbury Ct Lakeland FL 33801-0397 |
| Practice Telephone | 8636670372 |
| Mailing Telephone | 8636670372 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MD029469L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
4529 DEWSBURY CT |
| City | LAKELAND |
| State | FL |
| Zip Code | 33801-0397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1932719242 | Jimia Watkins | Home Health Aide | 2410 Lakeview St, Lakeland, FL 33801 | 2020-08-03 |
| 1396366886 | Erin Zimmer | Health Educator | 491 Lake Parker Ave, Lakeland, FL 33801 | 2020-05-06 |
| 1013473206 | Madelyn Claire Burley | Occupational Therapist | 1215 East Orange Street, Lakeland, FL 33801 | 2019-02-13 |
| 1992260319 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1617 Us Highway 98 S, Lakeland, FL 33801 | 2019-02-11 |
| 1669908836 | Integrative Physical Medicine of Lakeland LLC | Specialist | 1205 East Magnolia St, Suite 105, Lakeland, FL 33801 | 2017-05-10 |
| 1689111502 | Daryl Dowding | Counselor | 390 Alcaia Rd., Lakeland, FL 33801 | 2017-01-30 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1588030894 | Donna Lee Buckner | Specialist/Technologist | 111 Mosswood Road, Lakeland, FL 33801 | 2015-08-20 |
| 1144635780 | Donna Paige Mccraney | Nurse Practitioner | 111 Lake Hollingsworth Drive, Florida Southern College Student Health Center, Lakeland, FL 33801 | 2014-06-23 |
| Find all providers in zip 33801 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073012738 | Gordon Wayne Ondra | Anesthesiology | 343 Heatherpoint Dr, Lakeland, FL 33809-3946 | 2018-02-08 |
| 1154615326 | Aj Initiatives, LLC | Anesthesiology | 4631 Highlands Place Dr, Lakeland, FL 33813-2160 | 2011-06-06 |
| 1245280734 | Anesthesia Concepts,llc | Anesthesiology | 5337 N Socrum Loop Rd, Lakeland, FL 33809-4256 | 2006-05-12 |
| 1770562829 | Yi-hwa Sung Outerbridge | Anesthesiology | 1600 Lackeland Hills Blvd, Lakeland, FL 33805-3019 | 2006-01-16 |
| 1811993777 | Richard James Doviak II | Anesthesiology | 3340 Lakeland Hills Blvd, Lakeland, FL 33805-1974 | 2005-06-24 |
| 1205254372 | Casey Joan Woody | Anesthesiology | 3340 Lakeland Hills Blvd, Lakeland, FL 33805-1974 | 2014-04-04 |
| 1225316672 | Elite Anesthesia Practitioners, LLC | Anesthesiology | 900 Griffin Rd, Lakeland, FL 33805-2442 | 2011-08-02 |
| 1336435890 | Walead Ali Hessami | Anesthesiology | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2011-06-23 |
| 1518107317 | Trey Allen Johnson | Anesthesiology | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2009-03-06 |
| 1083885982 | Paul J Tan | Anesthesiology | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2008-03-19 |
| Find all providers in LAKELAND | ||||
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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.