PANKAJ WATAL (NPI# 1700261500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700261500 |
| Entity Type | Individual |
| Full Name | PANKAJ WATAL |
| Credential | M.D. |
| Practice Address |
6535 Nemours Pkwy Orlando FL 32827-7884 |
| Mailing Address |
10140 Centurion Parkway N Fl Provider Enrollment Jacksonville FL 32256-0532 |
| Practice Telephone | 4075674000 |
| Practice Fax Number | 4075675924 |
| Mailing Telephone | 9046974100 |
| Mailing Fax Number | 9046975102 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
R-10175 | IA | Allopathic & Osteopathic Physicians |
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
ME139515 | FL | Allopathic & Osteopathic Physicians |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
C1-0013054 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 102951100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Rockland Rd, Wilmington, DE 198033607 | 3026514200 | |
| 1280 Almonesson Rd, Deptford, NJ 080965502 | 8563451403 | 8568059370 |
| 101 Applied Bank Blvd Ste 11, Glen Mills, PA 193423501 | 4848008630 | 4848008635 |
| 807 Childrens Way, Jacksonville, FL 322078426 | 9046973600 | 9046973927 |
| 200 Hawkins Dr, Dept. of Radiology, Iowa City, IA 522421009 | 3194675463 | 3193562220 |
| Street Address |
6535 NEMOURS PKWY |
| City | ORLANDO |
| State | FL |
| Zip Code | 32827-7884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740268077 | Daniel Jay Podberesky | Radiology | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2006-01-06 |
| 1700496171 | Meghan Alexandra Moberly | Pediatrics | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-07-31 |
| 1073139812 | Lynn Anna O'boyle | Audiologist | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-06-17 |
| 1730704800 | Charlene Seraphina Dodson | Student in an Organized Health Care Education/Training Program | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-06-14 |
| 1609491851 | Arianna Ahiagbe | Student in an Organized Health Care Education/Training Program | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-06-13 |
| 1760007371 | Kirstie Boykin | Student in an Organized Health Care Education/Training Program | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-06-09 |
| 1043835689 | Shelby Alexis Sievers | Student in an Organized Health Care Education/Training Program | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-06-09 |
| 1053935999 | Akrishon Lachapell Kirk | Student in an Organized Health Care Education/Training Program | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-06-06 |
| 1053935767 | Monet Danielle Winslow | Student in an Organized Health Care Education/Training Program | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-05-29 |
| 1770107344 | Rowana Mohamed | Student in an Organized Health Care Education/Training Program | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2020-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1174016265 | Heather Marinello | Audiologist | Orlando Va Medical Center- Audiology Department, 13800 Veterans Way, Orlando, FL 32827 | 2018-06-13 |
| 1316445471 | Adventist Health System/sunbelt Inc. | Clinic/Center | 9637 Lake Nona Village Pl., Orlando, FL 32827 | 2018-01-24 |
| 1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
| 1013426188 | Valerie Anne Farrell | Social Worker | 13800 Veteran's Way, Bldg 9, Orlando, FL 32827 | 2017-09-21 |
| 1568981256 | Aneal Ansar Ahmed | Pharmacist | 6550 Sanger Road, University of Florida, Orlando, FL 32827 | 2017-09-13 |
| 1083132575 | Lindey Christine Bartolucci | Psychologist | 13800 Veterans Way Fl 2, Orlando, FL 32827 | 2017-09-05 |
| 1396299087 | Leah Sheehey-hampton | Counselor | 600 Tavistock Lakes Blvd, Suite 400, Orlando, FL 32827 | 2016-08-10 |
| 1972919272 | Scott Sakowitz | Dentist | 9161 Narcoossee Rd Ste 105b, Orlando, FL 32827 | 2014-07-08 |
| Find all providers in zip 32827 | ||||
| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| 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 |
|---|---|---|---|---|
| 1740268077 | Daniel Jay Podberesky | Radiology | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2006-01-06 |
| 1306126222 | Tushar Chandra | Radiology | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2011-08-23 |
| 1861782195 | Aaron Lindsay | Radiology | 601 E Rollins St, Orlando, FL 32803 | 2011-04-07 |
| 1801047683 | Michael Scott Gurian | Radiology | 20 W Kaley St, Orlando, FL 32806-2931 | 2008-10-10 |
| 1538352059 | Thang D Ngo | Radiology | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2007-08-20 |
| 1457552127 | Laura L Hayes | Radiology | 6535 Nemours Parkway, Nch, Orlando, FL 32827-7884 | 2007-05-30 |
| 1992910301 | Craig M Johnson | Radiology | 6535 Nemours Parkway, Nch, Orlando, FL 33282-7884 | 2007-05-11 |
| 1699980045 | David Dinan | Radiology | 6535 Nemours Pkwy, Orlando, FL 32827-7884 | 2007-05-11 |
| 1013904192 | Joseph N Foss | Radiology | 20 W Kaley St, Orlando, FL 32806-2931 | 2005-10-04 |
| 1235126970 | Mary K Garrett | Radiology | 20 W Kaley St, Orlando, FL 32806-2931 | 2005-09-27 |
| Find all providers in ORLANDO | ||||
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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.