RADIOLOGY ASSOCIATES OF HOLLYWOOD, INC. (NPI# 1659319671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659319671 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY ASSOCIATES OF HOLLYWOOD, INC. |
| Other Organization Name | RADIOLOGY ASSOCIATES OF HOLLYWOOD PA |
| Practice Address |
500 N. Hiatus Rd Suite 200 Pembroke Pines FL 33026 |
| Mailing Address |
13737 Noel Rd #1600 Dallas TX 75240-1331 |
| Practice Telephone | 9544374800 |
| Practice Fax Number | 9544376628 |
| Mailing Telephone | 9548382371 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE ID | K2457 | 01 |
| FL | 015989000 | 05 | |
| FL | 261391300 | 05 |
| Other Name | Type Code |
|---|---|
| Envision Physician Services Shendan Healthcare | Doing Business As Name - Organization |
| Radiology Associates of Hollywood PA | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992191928 | Radiology Associates of Hollywood, Inc. | Radiology | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2015-04-07 |
| 1538552435 | Radiology Associates of Hollywood, Inc. | Radiology | 9050 Pines Blvd, Suite 200, Pembroke Pines, FL 33024-6455 | 2015-03-17 |
| Street Address |
500 N. HIATUS RD SUITE 200 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| 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 |
|---|---|---|---|---|
| 1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
| 1447546643 | Irene Marie Hotalen | Radiology | 9050 Pines Blvds., Suite 200, Pembroke Pines, FL 33024-6456 | 2011-06-26 |
| 1376864272 | Hugh M Eisen | Radiology | 15811 Sw 14th St, Pembroke Pines, FL 33027-2362 | 2010-06-15 |
| 1487802740 | Jessica Batista | Radiology | 9050 Pines Blvd, Suite 200, Radiology Associates of Hollywood, Inc, Pembroke Pines, FL 33024 | 2008-08-28 |
| 1831114685 | Blaine Parrish Mitchell | Radiology | 9050 Pines Blvd., Suite 200, Pembroke Pines, FL 33024-6456 | 2006-07-13 |
| 1265495568 | Howard T. Heller | Radiology | 9050 Pines Blvd Ste 200, Pembroke Pines, FL 33024-6456 | 2006-04-08 |
| 1538552435 | Radiology Associates of Hollywood, Inc. | Radiology | 9050 Pines Blvd, Suite 200, Pembroke Pines, FL 33024-6455 | 2015-03-17 |
| 1225454424 | Pembroke Pink Imaging LLC | Radiology | 15735 Pines Blvd, Pembroke Pines, FL 33027-1207 | 2014-03-12 |
| 1750721502 | Luz Marina Cure | Radiology | 10950 Pines Blvd, Pembroke Pines, FL 33026-5208 | 2013-06-26 |
| 1215203674 | Kyungmin Kang | Radiology | 500 N Hiatus Rd Ste 200, Pembroke Pines, FL 33026-5213 | 2012-03-29 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
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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.