DR. EVAN M. LANDAU (NPI# 1184824088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184824088 |
Entity Type | Individual |
Full Name | DR. EVAN M. LANDAU |
Credential | MD |
Practice Address |
1600 S Andrews Ave Fort Lauderdale FL 33316-2510 |
Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Fort Myers FL 33907-1412 |
Practice Telephone | 9543555365 |
Practice Fax Number | 9544685251 |
Mailing Telephone | 2399317342 |
Mailing Fax Number | 2399317385 |
Enumeration Date | 2007-07-19 |
Last Update Date | 2012-11-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME109336 | FL | Allopathic & Osteopathic Physicians |
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
243554 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 003841600 | 05 | |
FL | CIGNA | 2810412 | 01 |
FL | FLORIDA HEALTHCARE PLUS | P0003152 | 01 |
FL | BCBS FL | 14EC7 | 01 |
FL | GHI | 2295602 | 01 |
FL | MEDICA | 23340 | 01 |
FL | WELLCARE | 662325 | 01 |
FL | OPTIMUN | P938024 | 01 |
FL | FREEDOM HEALTH | P997247 | 01 |
FL | AVMED | 349267 | 01 |
FL | AMERIGROUP | 01671620 | 01 |
FL | DIMENSIONS | 7422 | 01 |
FL | RAILROAD MEDICARE | P00990539 | 01 |
FL | AETNA | 9414789 | 01 |
FL | UNITED HEALTHCARE | F00335716002 | 01 |
Street Address |
1600 S ANDREWS AVE |
City | FORT LAUDERDALE |
State | FL |
Zip Code | 33316-2510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336753334 | Emily Ann Hoffman | Pharmacist | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-09-07 |
1144838145 | Mary Kathryn Mcgarity | Nurse Anesthetist, Certified Registered | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-07-16 |
1073136263 | Qian Zhao | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-05-21 |
1942822416 | Sachin Vasikaran | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-05-07 |
1447870340 | Anna Maria Jacques | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-04-21 |
1043830821 | William Summey | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-04-21 |
1144840174 | Neil Charnowitz | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-04-20 |
1922627256 | Sam Reiser Caruso | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-04-16 |
1235758509 | Jenny Gutwein | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-04-15 |
1790304269 | Anthony John Morris | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2020-04-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
Find all providers in zip 33316 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295852705 | Frederick Stephen Share | Radiology | 3341 Sw 57th Pl, Fort Lauderdale, FL 33312-6369 | 2007-03-22 |
1144782806 | Rachel Tobillo | Radiology | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2019-04-02 |
1538268594 | Lav Kumar Goyal | Radiology | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
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1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
Find all providers with the same taxonomy |
City | FORT LAUDERDALE |
Zip Code | 33316 |
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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.