DAVID WASSERMAN (NPI# 1518988179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518988179 |
| Entity Type | Individual |
| Full Name | DAVID WASSERMAN |
| Credential | MD |
| Practice Address |
200 N Berteau Ave Elmhurst IL 60126-2966 |
| Practice Telephone | 6308331400 |
| Mailing Telephone | 6308331400 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AW6494811 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1902971005 | David Randolph Wasserman | Dentist | 4055 So Spencer Street, Suite 200, Las Vegas, NV 89119-5251 | 2006-11-22 |
| 1659470540 | David Allan Wasserman | Psychologist | 257 Connecticut St, San Francisco, CA 94107-2402 | 2006-09-21 |
| 1912999806 | David F Wasserman | Psychologist | 4882 Mcgrath St, Ste. 210, Ventura, CA 93003-7722 | 2005-08-17 |
| 1184988404 | David Jacob Wasserman | Internal Medicine | 1955 Memorial Dr, Danville, VA 24541-4712 | 2012-07-02 |
| 1972753200 | David Arthur Wasserman | Emergency Medicine | 555 North Ave, Suite 1-p, Fort Lee, NJ 07024-2404 | 2008-09-23 |
| 1598781288 | David P Wasserman | Family Medicine | 1927 Lohmans Crossing Rd, Suite 200, Austin, TX 78734-5243 | 2006-07-14 |
| Street Address |
200 N BERTEAU AVE |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366484172 | George Fikaris | Anesthesiology | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2006-06-13 |
| 1154676187 | Ronald Jay Gerstein | Counselor | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2012-07-16 |
| 1083929145 | Margaret M, Biancofiori | Nurse Anesthetist, Certified Registered | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-08-13 |
| 1518281716 | Kassandra Koski | Speech-Language Pathologist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-03-17 |
| 1932421500 | Craig Neil Peterson | Pharmacist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-02-23 |
| 1760713754 | Tara Anne Delaney | Registered Nurse | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-01-15 |
| 1588817167 | Edyta Leicht | Anesthesiology | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2008-10-28 |
| 1881843399 | Deanna David | Physical Therapist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2008-09-09 |
| 1184882912 | Robert J Klatt IIi | Physical Therapy Assistant | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2008-05-29 |
| 1003074295 | Terri Ellen Calhoun | Occupational Therapist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2008-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| 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 |
|---|---|---|---|---|
| 1811268790 | Nicholas C Burriesci | Radiology | 119 N Haven Rd, Elmhurst, IL 60126-2931 | 2012-01-24 |
| 1609194810 | Nishant Kumar | Radiology | 155 E. Brush Hill Road, Elmhurst, IL 60126-5652 | 2010-05-12 |
| 1962551895 | Angelo Peter Malamis | Radiology | 558 S Cedar Ave, Elmhurst, IL 60126-4136 | 2007-01-09 |
| 1184643561 | Khaleda Billah | Radiology | 4036 74th St, Elmhurst, NY 11373-5630 | 2006-07-18 |
| 1841248689 | Jay D Tartell | Radiology | 8940 56th Ave, Elmhurst, NY 11373-4933 | 2006-05-04 |
| 1578564696 | Djordje Boskov | Radiology | 566 S Hillcrest Ave, Elmhurst, IL 60126-4146 | 2005-08-10 |
| 1942685649 | Comprehensive Diagnostic Imaging Services P.C. | Radiology | 8635 Queens Blvd, Suite 2lm, Elmhurst, NY 11373-4434 | 2015-07-23 |
| 1417367921 | New York Radiology PC | Radiology | 5718 Junction Blvd, Elmhurst, NY 11373-5153 | 2014-05-06 |
| 1376814863 | Apollo Medical Diagnostic Services Pllc | Radiology | 4036 74th St, Elmhurst, NY 11373-5630 | 2012-01-16 |
| 1194984914 | Scott Michael Stickles | Radiology | 8940 56th Ave, Elmhurst, NY 11373-4933 | 2008-06-06 |
| Find all providers in ELMHURST | ||||
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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.