STEPHEN EDELSTEIN (NPI# 1578683298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578683298 |
| Entity Type | Individual |
| Full Name | STEPHEN EDELSTEIN |
| Credential | MD |
| Practice Address |
7201 N University Dr Tamarac FL 33321-2913 |
| Mailing Address |
Po Box 030548 Fort Lauderdale FL 33303-0548 |
| Practice Telephone | 9547816422 |
| Mailing Telephone | 9547816422 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME22077 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AVMED PIN | 280077 | 01 |
| FL | AMERIGROUP PIN | 214355 | 01 |
| FL | HUMANA HLTHCR PIN | 650849890D | 01 |
| FL | HEALTHEASE PIN | 202947 | 01 |
| FL | AETNA PIN | 7726045 | 01 |
| FL | CAREPLUS HLTH PLAN PIN | 1021806 | 01 |
| FL | INTEGRATED HLTH PLAN PIN | O084766 | 01 |
| FL | VISTA HLTH PLAN PIN | SG067359 | 01 |
| FL | BCBS FLORIDA PIN | V2224 | 01 |
| FL | TOTAL HLTH CHOICE PIN | 498 | 01 |
| FL | UNITED HLTHCR PIN | 00002536540 02 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841345212 | Stephen G Edelstein | Internal Medicine | 838 E High St, Suite # 259, Lexington, KY 40502-2107 | 2007-01-24 |
| Street Address |
7201 N UNIVERSITY DR |
| City | TAMARAC |
| State | FL |
| Zip Code | 33321-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659323632 | Radiology Associates Pa of Fort Lauderdale | Radiology | 7201 N University Dr, Tamarac, FL 33321-2913 | 2006-05-17 |
| 1285231761 | Yovana Catherine Woods | Nurse Practitioner | 7201 N University Dr, Tamarac, FL 33321-2996 | 2020-10-07 |
| 1093334237 | Christopher Thomas Duke | Student in an Organized Health Care Education/Training Program | 7201 N University Dr, Tamarac, FL 33321-2913 | 2020-04-08 |
| 1730718453 | Matthew Frederick Mills | Student in an Organized Health Care Education/Training Program | 7201 N University Dr, Tamarac, FL 33321-2913 | 2020-04-04 |
| 1194354282 | Julianne Carroll Spiros | Student in an Organized Health Care Education/Training Program | 7201 N University Dr, Tamarac, FL 33321-2913 | 2020-04-02 |
| 1972132884 | Bridget Nazar | Student in an Organized Health Care Education/Training Program | 7201 N University Dr, Tamarac, FL 33321-2913 | 2020-04-02 |
| 1144858218 | Peter Ferguson Garrett | Student in an Organized Health Care Education/Training Program | 7201 N University Dr, Tamarac, FL 33321-2913 | 2020-04-01 |
| 1609404763 | Rebecca Susanne Nosal | Student in an Organized Health Care Education/Training Program | 7201 N University Dr, Tamarac, FL 33321-2913 | 2020-04-01 |
| 1174151245 | Maygen L Lafata | Student in an Organized Health Care Education/Training Program | 7201 N University Dr, Tamarac, FL 33321-2913 | 2020-04-01 |
| 1801356688 | Saendy Jung | Student in an Organized Health Care Education/Training Program | 7201 N University Dr, Tamarac, FL 33321-2913 | 2019-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565146 | Rx Care 17 LLC | Pharmacy | 7142 N. University Drive, Tamarac, FL 33321 | 2020-07-08 |
| 1588204333 | Md Now Medical Centers Inc | Clinic/Center | 5817 N University Dr, Tamarac, FL 33321 | 2020-01-09 |
| 1992356919 | Ideal Smiles Dental Care | Clinic/Center | 6536 N. University Drive, Tamarac, FL 33321 | 2019-09-20 |
| 1447725551 | Keron Andrea Lee Cameron | Nurse Practitioner | 7961 Nw 90th Ave, Tamarac, FL 33321 | 2018-10-05 |
| 1134603681 | Sandra Julieth Gomez | Behavior Technician | 2865 Sw 16th Street Apt 1, Fort Lauderdale, FL 33321 | 2018-09-20 |
| 1396244646 | Coral Springs Hyperberic Oxygen and Wound Care Center LLC | Clinic/Center | 8333 W Mcnab, 107, Tamarac, FL 33321 | 2018-02-01 |
| 1124542741 | Franklyn Internal Medicine, LLC | Hospitalist | 7201 North University Dr, Tamarac, FL 33321 | 2017-07-26 |
| 1144742792 | Luz Natalia Franco Taveras | Dentist | 7300 W Mcnab Rd Ste 115, Tamarac, FL 33321 | 2017-07-14 |
| 1154861185 | Judith Ann Jacobs | Marriage & Family Therapist | 8400 N University Dr Ste 209, Tamarac, FL 33321 | 2017-02-23 |
| 1326584970 | Nelly Foeman | Behavior Technician | 5959 Royal Way, Tamarac, FL 33321 | 2017-01-06 |
| Find all providers in zip 33321 | ||||
| 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 |
|---|---|---|---|---|
| 1659323632 | Radiology Associates Pa of Fort Lauderdale | Radiology | 7201 N University Dr, Tamarac, FL 33321-2913 | 2006-05-17 |
| 1528065505 | David Alan Clayman | Radiology | 7186 N University Dr, Tamarac, FL 33321-2916 | 2005-07-05 |
| 1710115019 | Michael Mester Raskin | Radiology | 7710 Nw 71st Ct, Suite 207, Tamarac, FL 33321-2973 | 2009-06-24 |
| 1023045259 | Geoffrey Stephen Tashjian | Radiology | 7186 N University Dr, Tamarac, FL 33321-2916 | 2006-06-26 |
| 1881693828 | Beaches Open Mri of Tamarac LLC | Radiology | 7186 N University Dr, Suite 1, Tamarac, FL 33321-2916 | 2005-07-20 |
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|---|---|---|---|---|
| 1588263941 | Pro Rad Imaging Services, LLC | Radiology | 81 N Hibiscus Dr, Miami Beach, FL 33139-5117 | 2020-10-18 |
| 1144834763 | Tower Imaging LLC | Radiology | 17416 Brookside Trace Ct., Tampa, FL 33647-3589 | 2020-09-01 |
| 1093325987 | Flagler Professional Health Care Services Inc. | Radiology | 351 Town Plaza Avenue, 101, Ponte Vedra, FL 32081 | 2020-08-05 |
| 1285243394 | Florida Radiology Imaging At Lake Mary LLC | Radiology | 2488 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-4948 | 2020-07-24 |
| 1790301661 | Clearview Diagnostic | Radiology | 8076 S Orange Blossom Trl, Orlando, FL 32809-7670 | 2020-06-17 |
| 1255956280 | Radiology Consultants of Hollywood Inc | Radiology | 310 W 41st St, Miami Beach, FL 33140-3603 | 2020-06-16 |
| 1366067712 | Baycare Outpatient Imaging LLC | Radiology | 711 S Dale Mabry Hwy, Tampa, FL 33609-4445 | 2020-06-11 |
| 1982225009 | Radiology and Nuclear Medicine Services LLC | Radiology | 1020 Nw 94th Ter, Plantation, FL 33322-4816 | 2020-04-29 |
| 1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
| 1316576705 | Morton Plant Mease Health Services Inc | Radiology | 1840 Mease Dr Ste 103, Safety Harbor, FL 34695-6603 | 2020-04-07 |
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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.