PAVEL NIKOLAYEVICH SERGEYEV (NPI# 1437125077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437125077 |
| Entity Type | Individual |
| Full Name | PAVEL NIKOLAYEVICH SERGEYEV |
| Credential | MD |
| Practice Address |
425 N Ocean Blvd Apt 4 Boca Raton FL 33432-4203 |
| Mailing Address |
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2016-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME88982 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
425 N OCEAN BLVD APT 4 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33432-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024067 | Barry Wolf | Counselor | Jackwolf LLC, 247 S. Ocean Blvd, Boca Raton, FL 33432 | 2020-05-12 |
| 1225659147 | Tyler Stephanie Diaz Redford | Physician Assistant | 106 Ne 2nd St., Boca Raton, FL 33432 | 2020-05-01 |
| 1235611393 | Gabrielle Bovarnick | Behavioral Analyst | 1730 S Federal Hwy #268, Delay Beach, FL 33432 | 2018-09-05 |
| 1285113878 | Innovative Supplies, LLC | Durable Medical Equipment & Medical Supplies | 399 Camino Gardens, Ste 303, Boca Raton, FL 33432 | 2018-08-14 |
| 1376029850 | Sunlight Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1700 N. Dixie Highway, Ste 127, Boca Raton, FL 33432 | 2018-07-17 |
| 1306332648 | Sunlight Medical LLC | Durable Medical Equipment & Medical Supplies | 1700 Dixie Hwy, Suite 127, Boca Raton, FL 33432 | 2018-07-10 |
| 1669973707 | Amanda M. D'alem | Behavior Technician | Nw 13th St #300, Boca Raton, FL 33432 | 2018-02-23 |
| 1457863326 | Pipeline Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1700 N Dixie Hwy Ste 140, Boca Raton, FL 33432 | 2017-10-31 |
| 1063930717 | Francisco Jose Osorio | Behavior Technician | 123 Nw 13 St, Boca Raton, FL 33432 | 2017-09-01 |
| 1023467263 | Sraz Consultancy LLC | Counselor | 370 Camino Gardens Blvd Suite 101, Boca Raton, FL 33432 | 2016-06-08 |
| Find all providers in zip 33432 | ||||
| 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 |
|---|---|---|---|---|
| 1407332703 | Quantum Medical Radiology of California, P.C. | Radiology | 252 E Boca Raton Rd, Boca Raton, FL 33432-4063 | 2018-07-19 |
| 1104271634 | Florida United Radiology, Lc | Radiology | 6569 Nw 39th Ter, Boca Raton, FL 33496-4052 | 2016-05-03 |
| 1033563168 | Radiology Services of Jupiter Medical Specialists, LLC | Radiology | 4122 Briarcliff Cir, Boca Raton, FL 33496-4064 | 2016-04-14 |
| 1881048056 | Florida United Radiology, Lc | Radiology | 6683 Montego Bay Blvd, Unit F, Boca Raton, FL 33433-4026 | 2016-04-14 |
| 1144623091 | Edward Victor Grayson | Radiology | 3435 Windsor Pl, Boca Raton, FL 33496-2762 | 2014-10-07 |
| 1831509983 | Holy Cross Outpatient Services, Inc. | Radiology | 1799 S. Federal Highway, Boca Raton, FL 33432 | 2014-04-29 |
| 1356685093 | Sheridan Radiology Services of South Florida, Inc. | Radiology | 17585 Middlebrook Way, Boca Raton, FL 33496-1021 | 2012-11-19 |
| 1548524903 | Barbara Henick Bachow | Radiology | 5853 Hamilton Way, Boca Raton, FL 33496-2509 | 2012-06-30 |
| 1952634131 | Martin Baer | Radiology | 5821 Town Bay Dr, #513, Boca Raton, FL 33486-8765 | 2009-09-06 |
| 1235387622 | Geoffrey S Tashjian P A | Radiology | 6527 Nw 31st Ter, Boca Raton, FL 33496-3302 | 2008-08-28 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33432 |
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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.