STEPHANIE K HISKES (NPI# 1639121767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639121767 |
| Entity Type | Individual |
| Full Name | STEPHANIE K HISKES |
| Credential | MD |
| Practice Address |
206 2nd St E Bradenton FL 34208-1042 |
| Mailing Address |
2125 Crystal Grove Dr Lakeland FL 33801-6875 |
| Practice Telephone | 8636882334 |
| Mailing Telephone | 8636882334 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME78061 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME78061 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
206 2ND ST E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522997 | Lawrence George Manco | Radiology | 206 2nd St E, Bradenton, FL 34208-1042 | 2005-10-14 |
| 1801494117 | Sarah Louise Harper | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-10-09 |
| 1467067371 | Jessica Shacklett | Nurse Practitioner | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-09-09 |
| 1528680808 | Harrison Browning | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-05-10 |
| 1467073254 | Juan Dangond Gomez | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-05-03 |
| 1821619289 | Maniekha Maharaj | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-04-27 |
| 1063033447 | Melissa Vilar | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1000 | 2020-04-27 |
| 1659991040 | Klaudio Alla | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-04-26 |
| 1376163733 | Ahmed Ali Alhassani | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1000 | 2020-04-25 |
| 1821618331 | Shivan Ramsamooj | Student in an Organized Health Care Education/Training Program | 206 2nd St E, Bradenton, FL 34208-1042 | 2020-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| 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 |
|---|---|---|---|---|
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1235421645 | Robert Howes Montgomery | Radiology | 9447 Discovery Ter, #202, Bradenton, FL 34212-5113 | 2011-05-04 |
| 1629130141 | James Chatham Jr. | Radiology | 8012 1st Ave W, Bradenton, FL 34209-2113 | 2006-12-14 |
| 1689745382 | Blake Imaging LLC | Radiology | 2010 59th Street West, Stuie 1500, Bradenton, FL 34209 | 2006-11-13 |
| 1841388477 | Joseph Daniel Oliveira | Radiology | 6162 9th Ave. Circle Ne, Bradenton, FL 34212 | 2006-10-10 |
| 1083621783 | Denis M Cavanagh | Radiology | 300 Riverside Drive E, Suite 4300, Bradenton, FL 34208 | 2006-08-02 |
| 1316985658 | Bowes Imaging Center LLC. | Radiology | 6207 Cortez Rd W, Bradenton, FL 34210-2602 | 2006-06-02 |
| 1407894744 | Axcess Diagnostics Bradenton LLC | Radiology | 5101 4th Avenue Cir E, Suite 100, Bradenton, FL 34208-5630 | 2006-06-02 |
| 1770535809 | Stoutamyer Stratos Schroeder Whaley & Rizzo Mds Pa | Radiology | 2020 59th St West, Blake Medical Center, Bradenton, FL 34209 | 2006-05-17 |
| Find all providers in BRADENTON | ||||
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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.