TRACY LYNEE VANDERSCHAAF (NPI# 1598873663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598873663 |
| Entity Type | Individual |
| Full Name | TRACY LYNEE VANDERSCHAAF |
| Credential | R, M, MR |
| Practice Address |
511 E 23rd St Panama City FL 32405-5307 |
| Mailing Address |
50128 130th Ave Laurens IA 50554-8522 |
| Practice Telephone | 8507471140 |
| Mailing Telephone | 8508324970 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2008-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247100000X | Radiologic Technologist | 050748 | FL | Technologists, Technicians & Other Technical Service Providers |
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
240876 | Technologists, Technicians & Other Technical Service Providers | |
| N | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
240876 | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
511 E 23RD ST |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134188824 | Suncoast Open Mri LLC | Clinic/Center | 511 E 23rd St, Panama City, FL 32405-5307 | 2006-03-21 |
| 1770905457 | Jennifer Valle | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2014-01-14 |
| 1912329699 | Summer Sheppard | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2014-01-14 |
| 1902146525 | Tiffany N West | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2013-02-19 |
| 1134417595 | Cecil Jay Lynn | Spec/Tech, Cardiovascular | 511 E 23rd St, Panama City, FL 32405-5307 | 2011-07-19 |
| 1558659912 | Mary M Jones | Spec/Tech, Cardiovascular | 511 E 23rd St, Panama City, FL 32405-5307 | 2011-07-19 |
| 1861729253 | Nikitta Ashley Bobzien | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2009-11-06 |
| 1457586869 | Denice L Spencer | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2009-05-29 |
| 1417125576 | Natalie D Badger | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2008-02-12 |
| 1568480580 | Jennifer Jone Johns | Radiologic Technologist | 511 E 23rd St, Panama City, FL 32405-5307 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952890634 | Mazel Medical Center Inc | Radiologic Technologist | 8150 Sw 8th St Ste 119, Miami, FL 33144-4275 | 2018-05-08 |
| 1992236137 | Manatee Memorial Hospital Lp | Radiologic Technologist | 300 Riverside Dr E Ste 1400, Bradenton, FL 34208-1002 | 2017-03-21 |
| 1598213746 | Pines Imaging Center LLC | Radiologic Technologist | 9696 Pines Blvd, Pembroke Pines, FL 33024-6246 | 2016-09-16 |
| 1003280280 | Upright Open Mri, LLC | Radiologic Technologist | 18922-24 S Dixie Highway, Cutler Bay, FL 33157 | 2015-11-25 |
| 1073904876 | Mri Pluss Inc. | Radiologic Technologist | 9790 Sw 24 St, Miami, FL 33165 | 2015-02-16 |
| 1376834721 | Nog Diagostic | Radiologic Technologist | 3500hollywood Blvd, Hollywood, FL 33021 | 2011-04-20 |
| 1710115324 | Carol Beth Haring | Radiologic Technologist | 504 49th St E, Bradenton, FL 34208-5838 | 2009-06-23 |
| 1164676722 | Plantation Open Mri, LLC | Radiologic Technologist | 4331 N Federal Hwy Ste 200, Fort Lauderdale, FL 33308-5252 | 2008-11-10 |
| 1922263532 | Jacksonville Orthopaedic Institute Inc | Radiologic Technologist | 436 Jacksonville Dr, Jacksonville Beach, FL 32250-3812 | 2008-07-23 |
| 1891915583 | Clearview Imaging LLC | Radiologic Technologist | 3707 W Hamilton Ave, Tampa, FL 33614-4067 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on TRACY LYNEE VANDERSCHAAF.
| 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.