MICHAEL D PENTALERI (NPI# 1316904022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316904022 |
| Entity Type | Individual |
| Full Name | MICHAEL D PENTALERI |
| Credential | M.D. |
| Practice Address |
1600 Phillips Rd Tallahassee FL 32308-5304 |
| Mailing Address |
2675 Winkler Ave Fl 2 Fort Myers FL 33901-9342 |
| Practice Telephone | 8508784127 |
| Mailing Telephone | 8448218137 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2019-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME78641 | FL | Other Service Providers |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME78641 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AVMED | 301630 | 01 |
| FL | RR MEDICARE | P01130437 | 01 |
| GA | GA MEDICAID | 003156073A | 01 |
| FL | 259013100 | 05 | |
| FL | BCBS | 35376 | 01 |
| FL | MEDICARE RAILROAD | P00301196 | 01 |
| Street Address |
1600 PHILLIPS RD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487153904 | Julie Daugherty | Radiology | 1600 Phillips Rd, Tallahassee, FL 32308-5304 | 2018-02-10 |
| 1205376191 | Tallahassee Diagnostic Imaging Center, Ltd | Radiology | 1600 Phillips Rd, Tallahassee, FL 32308-5304 | 2017-02-27 |
| 1417383019 | Christen Marie Crane-amores | Radiology Practitioner Assistant | 1600 Phillips Rd, Tallahassee, FL 32308-5304 | 2013-09-16 |
| 1386904704 | Karan Nilesh Patel | Radiology | 1600 Phillips Rd, Tallahassee, FL 32308-5304 | 2012-05-18 |
| 1730456724 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 1600 Phillips Rd, Suite 300, Tallahassee, FL 32308-5304 | 2011-11-19 |
| 1164614095 | David Vermess | Radiology | 1600 Phillips Rd, Tallahassee, FL 32308-5304 | 2007-08-14 |
| 1124220371 | Brook Jacob Hill | Radiology | 1600 Phillips Rd, Tallahassee, FL 32308-5304 | 2007-06-01 |
| 1265518377 | Viralkumar K Bhanderi | Internal Medicine | 1600 Phillips Rd, Suite 300, Tallahassee, FL 32308-5304 | 2006-10-31 |
| 1184718496 | Pareshkumar B. Patel | Internal Medicine | 1600 Phillips Rd, Suite 300, Tallahassee, FL 32308-5304 | 2006-10-03 |
| 1376659953 | David Burns | Radiology | 1600 Phillips Rd, Tallahassee, FL 32308-5304 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| 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 |
|---|---|---|---|---|
| 1629619044 | North Florida Radiology Pllc | Radiology | 1563 Capital Cir Se, Tallahassee, FL 32301-5115 | 2019-10-07 |
| 1992946230 | Radiserv LLC | Radiology | 4224 W Tennessee St # 205, Tallahassee, FL 32304-1033 | 2009-03-17 |
| 1972613560 | Diagnostic Radiology Inc | Radiology | 7776 Evening Star Lane, Tallahassee, FL 32312-3555 | 2006-08-30 |
| 1073575858 | Bruce Alan Rodan | Radiology | 3259 Updike Ave, Tallahassee, FL 32311 | 2006-04-05 |
| 1609841402 | Stand Up Mri of Tallahassee Pa | Radiology | 2332 Capital Cir Ne, Tallahassee, FL 32308-4308 | 2006-02-23 |
| 1932184652 | Raymond Paul Radanovich | Radiology | 1803 Miccosukee Commons Dr, Tallahassee, FL 32308-7403 | 2005-12-15 |
| 1447761101 | Radiology Physician Solutions of North Florida, LLC | Radiology | 2626 Capital Medical Blvd, Tallahassee, FL 32308-4402 | 2017-10-20 |
| 1205376191 | Tallahassee Diagnostic Imaging Center, Ltd | Radiology | 1600 Phillips Rd, Tallahassee, FL 32308-5304 | 2017-02-27 |
| 1003291535 | Radiology Associates of Tallahassee Pa | Radiology | 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | 2015-07-27 |
| 1386904704 | Karan Nilesh Patel | Radiology | 1600 Phillips Rd, Tallahassee, FL 32308-5304 | 2012-05-18 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on MICHAEL D PENTALERI.
| 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.