DR. SCOTT LEWIS MIDWALL (NPI# 1518055342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518055342 |
Entity Type | Individual |
Full Name | DR. SCOTT LEWIS MIDWALL |
Credential | M.D. |
Practice Address |
5503 S Congress Ave Suite 206 Atlantis FL 33462-6625 |
Practice Telephone | 5614330591 |
Practice Fax Number | 5614330891 |
Mailing Telephone | 5614330591 |
Mailing Fax Number | 5614330891 |
Enumeration Date | 2006-10-10 |
Last Update Date | 2015-01-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD445890 | PA | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME99154 | FL | Allopathic & Osteopathic Physicians |
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD445890 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 102827028 | 05 | |
FL | BCBS | 14X38 | 01 |
FL | 011685000 | 05 |
Street Address |
5503 S CONGRESS AVE SUITE 206 |
City | ATLANTIS |
State | FL |
Zip Code | 33462-6625 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669467460 | Freya Jan Silverstein | Internal Medicine | 5503 S Congress Ave, Suite 103, Atlantis, FL 33462-6614 | 2005-09-18 |
1881010353 | Tomasz Piotr Kropiwnicki | Specialist/Technologist, Other | 5503 S Congress Ave, Suite 204, Atlantis, FL 33462-6625 | 2014-03-08 |
1821349531 | Acrc-cardiology | Clinic/Center | 5503 S Congress Ave, Ste 102, Atlantis, FL 33462-6625 | 2012-09-21 |
1801061882 | Alessandra Saito Regatieri | Internal Medicine | 5503 S Congress Ave, Suite 104, Atlantis, FL 33462-6614 | 2008-04-29 |
1972605251 | Bio Medical Applications of Florida Inc | Clinic/Center | 5503 S Congress Ave, Suite 101, Atlantis, FL 33462-6625 | 2006-09-05 |
1811924236 | Susannah Rothenberg | Internal Medicine | 5503 S Congress Ave, Suite 206, Atlantis, FL 33462-6625 | 2006-06-28 |
1821024761 | Mark D Rothenberg | Internal Medicine | 5503 S Congress Ave, Ste 206, Atlantis, FL 33462-6625 | 2006-06-23 |
1821033986 | Rajesh Harrilal | Nurse Practitioner | 5503 S Congress Ave, Suite 206, Atlantis, FL 33462-6625 | 2006-06-20 |
1124063540 | Palm Beach Heart Associates Pa | Internal Medicine | 5503 S Congress Ave, Suite 206, Atlantis, FL 33462-6625 | 2006-06-19 |
1447295878 | Jill Kinley | Nurse Practitioner | 5503 S Congress Ave, Suite 206, Atlantis, FL 33462-6625 | 2006-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
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Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306138441 | Christopher Hawk | Internal Medicine | 5401 S Congress Ave Ste 102, Atlantis, FL 33462-6636 | 2011-05-09 |
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1861004277 | Steve Malosky Md LLC | Internal Medicine | 900 Sw Saint Lucie Cres, Stuart, FL 34994-2842 | 2020-08-18 |
1881212744 | North Broward Hospital District | Internal Medicine | 817 S University Dr Ste 104, Plantation, FL 33324-3345 | 2020-07-08 |
1821612821 | Satish Sivasankaran Md Pa | Internal Medicine | 5340 Gulf Dr Ste 101, New Port Richey, FL 34652-3922 | 2020-06-04 |
1699317933 | Abid A Shah Md LLC | Internal Medicine | 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 | 2019-10-08 |
1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
1205329620 | Central Florida Cardiovascular Imaging Center, LLC | Internal Medicine | 1717 Mayo Dr, Tavares, FL 32778-4307 | 2018-06-11 |
1568953511 | Orlando Lopez-fernandez Jr. | Internal Medicine | 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 | 2018-05-25 |
1467959668 | Cardiology Practice Pa | Internal Medicine | 5051 Ashington Landing Dr, Tampa, FL 33647-3515 | 2018-04-12 |
1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
1114425477 | Cardiac Cin of Miami LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 | 2018-01-31 |
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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.