MARCO TEODORO BOLOGNA (NPI# 1316992365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316992365 |
| Entity Type | Individual |
| Full Name | MARCO TEODORO BOLOGNA |
| Credential | MD |
| Practice Address |
350 Nw 84th Ave Suite 300 Plantation FL 33324-1817 |
| Practice Telephone | 9544759535 |
| Practice Fax Number | 9544754637 |
| Mailing Telephone | 9544759535 |
| Mailing Fax Number | 9544754637 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME97766 | FL | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
25242 | AL | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | ME97766 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS | 051530103 | 01 |
| MS | MISSISSIPPI MEDICAID | 02208294 | 01 |
| FL | 277690100 | 05 | |
| AL | 009932919 | 05 | |
| AL | 009932702 | 05 | |
| AL | BLUE CROSS | 051530105 | 01 |
| AL | SECTION 1011 | 010033CI37553 | 01 |
| Street Address |
350 NW 84TH AVE SUITE 300 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367722 | Eduardo Fernandez | Radiology | 350 Nw 84th Ave, Suite 102, Plantation, FL 33324-1817 | 2005-06-22 |
| 1063964534 | Royal Palm Beach Rehab, Corp. | Neuromusculoskeletal Medicine, Sports Medicine | 350 Nw 84th Ave, Suite 200, Plantation, FL 33324-1817 | 2016-10-31 |
| 1922478213 | Physical Therapy Institute and Aquatic Rehab, Inc | Physical Therapist | 350 Nw 84th Ave, Suite 207, Plantation, FL 33324-1817 | 2015-09-30 |
| 1104296748 | Courtney L Alhomsi | Nurse Practitioner | 350 Nw 84th Ave, Suite 300, Plantation, FL 33324-1817 | 2015-09-25 |
| 1285003632 | Royal Palm Beach Rehab, Corp | Physical Therapist | 350 Nw 84th Ave, Suite 207, Plantation, FL 33324-1817 | 2015-09-16 |
| 1750750105 | Action Physical Therapy, LLC | Physical Therapist | 350 Nw 84th Ave, Suite 207, Plantation, FL 33324-1817 | 2015-09-16 |
| 1942685367 | Agnieszka Barbara Slowik | Nurse Practitioner | 350 Nw 84th Ave, Plantation, FL 33324-1817 | 2015-07-27 |
| 1700264744 | Associates In Family Practice of Broward LLC | Family Medicine | 350 Nw 84th Ave, Suite 200b, Plantation, FL 33324 | 2015-05-11 |
| 1255613667 | Alan M. Lazar, M.d., P.a. | Non-Pharmacy Dispensing Site | 350 Nw 84th Ave, Suite 206, Plantation, FL 33324-1817 | 2011-09-12 |
| 1003114430 | John W N Foster Md Pa | Family Medicine | 350 Nw 84th Ave, Suite 108, Plantation, FL 33324-1817 | 2011-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922247030 | James L Marsten | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 781 W Tropical Way, Plantation, FL 33317-3349 | 2009-02-12 |
| 1831283373 | Jeffrey Howard Newman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8251 W Broward Blvd Ste 300, Plantation, FL 33324-2703 | 2006-10-02 |
| 1386621712 | Richard A Brezing | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8251 W Broward Blvd, Suite 300, Plantation, FL 33324-2703 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765898 | Leonardo Andrade Mulinari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 Nw 14th St Ofc 462, Miami, FL 33136-2107 | 2020-09-21 |
| 1093344376 | Jupiter Medical Center Physicians Group Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1002 S Old Dixie Hwy Ste 101, Jupiter, FL 33458-7202 | 2020-04-07 |
| 1720581937 | John J Dunning | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12901 Bruce B Downs Blvd # 62, Tampa, FL 33612-4742 | 2018-03-14 |
| 1871020545 | Nicholas James Sears | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 450 Knights Run Ave, Suite 1406, Tampa, FL 33602-6300 | 2017-05-12 |
| 1124410857 | Miami Vein Clinics Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8549 Coral Way, Miami, FL 33155-2335 | 2015-03-04 |
| 1861884595 | Usa Vascular Centers of Miami Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1711 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4621 | 2015-03-04 |
| 1568861995 | Modesto Peralta Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 423 W Fenway Dr, Hernando, FL 34442-5144 | 2014-08-21 |
| 1477982197 | Paul Kurlansky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2755 N Bay Rd, Miami Beach, FL 33140-4264 | 2013-11-04 |
| 1184063521 | Walter Smithwick IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Prince Edward Rd, Jacksonville, FL 32210-8118 | 2013-06-19 |
| 1023451937 | Leonard R. Levy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1121 Crandon Blvd, F-701, Key Biscayne, FL 33149-2755 | 2013-04-10 |
| Find all providers with the same taxonomy | ||||
| City | PLANTATION |
| Zip Code | 33324 |
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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.