MR. MICHAEL DOUGLAS AUTRY (NPI# 1336497841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336497841 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL DOUGLAS AUTRY |
| Practice Address |
1601 Sw Archer Rd Gainesville FL 32608-1135 |
| Mailing Address |
7927 Sw 13th Rd Gainesville FL 32607-3320 |
| Practice Telephone | 3522715000 |
| Mailing Telephone | 3523289830 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | CRT82679 | FL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1601 SW ARCHER RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326042177 | Laura Carter Smoot | Pharmacist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2005-06-09 |
| 1518567411 | Tommy Leon Coffey Jr. | Physical Therapist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-10-29 |
| 1801401666 | Megan L Turnage | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-09 |
| 1437763596 | Dorothea Lynn Parker | Registered Nurse | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-04 |
| 1598379950 | Sara Rose Belmore | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-03 |
| 1962016592 | Dierdre Cooper | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-09-01 |
| 1659984979 | Alejandro J. Gutierrez | Nurse Practitioner | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-08-26 |
| 1285244129 | Jenna Bradley | Speech-Language Pathologist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-08-05 |
| 1356950091 | Briana Ballister | Pharmacist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-07-29 |
| 1124637079 | Carolina Liriano | Pharmacist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023380227 | Colleen West | Radiologic Technologist | 2925 Nw 161st Ct, Gainesville, FL 32609-4088 | 2012-02-02 |
| 1134487242 | George Warren Gilbride | Radiologic Technologist | 1600 Sw Archer Road, Department Fo Radiology, Gainesville, FL 32610-0374 | 2012-04-26 |
| 1083943724 | Gerald Herr | Radiologic Technologist | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2009-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672540 | All Injury & Diagnostic Clinic LLC | Radiologic Technologist | 125 Mason Ave Ste A, Daytona Beach, FL 32117-5017 | 2019-01-07 |
| 1134675036 | Luis Raul Rodriguez | Radiologic Technologist | 9056 Sw 148th Ct, Miami, FL 33196-4119 | 2016-08-30 |
| 1003362211 | Jeanette Christine Gillespie | Radiologic Technologist | 1357 Hillside Dr., Tarpon Springs, FL 34689-2011 | 2016-08-28 |
| 1366996670 | Jennifer Tzigos | Radiologic Technologist | 2586 Windwood Dr, Clearwater, FL 33763-1254 | 2016-08-04 |
| 1033566112 | Lori Ganim | Radiologic Technologist | 10000 Bay Pines Blvd North, St Petersburg, FL 33708 | 2016-05-19 |
| 1629432695 | Emmanuel Jose | Radiologic Technologist | 1489 N Military Trl Ste 217, West Palm Beach, FL 33409-6057 | 2016-04-06 |
| 1942672860 | Julia Mcdaniel | Radiologic Technologist | 1420 Lantry Ct, Orlando, FL 32804-1220 | 2015-10-30 |
| 1548638521 | Regional Medical Imaging, Inc | Radiologic Technologist | 7475 Nw 4th St, Plantation, FL 33317-2227 | 2015-09-09 |
| 1750764387 | Jennifer Lynn Howell | Radiologic Technologist | 5901 Broken Sound Parkway #450, Boca Raton, FL 33487-2787 | 2015-07-01 |
| 1164817367 | Gang Qiu | Radiologic Technologist | 8090 Atlantic Blvd Apt G92, Jacksonville, FL 32211-8573 | 2015-04-03 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
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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.