DAVID RAYMOND AUTRY (NPI# 1750522678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750522678 |
| Entity Type | Individual |
| Full Name | DAVID RAYMOND AUTRY |
| Credential | M.D. |
| Practice Address |
3830 S Hwy A1a # 4-160 Melbourne FL 32951-3143 |
| Practice Telephone | 3217248322 |
| Mailing Telephone | 3217248322 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME25634 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | 11105 | 01 |
| FL | 036923300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578587796 | David Carl Autry | Physician Assistant | 400 S Kingshighway Blvd, Saint Louis, MO 63110-1014 | 2006-07-27 |
| 1629026877 | David C Autry | Radiology | 6800 State Route 162, Anderson Hospital Dept of Radiology, Maryville, IL 62062-1000 | 2006-05-04 |
| Street Address |
3830 S HWY A1A # 4-160 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32951-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619216363 | Kenneth Ervin Fulton | Pathology | 7830 Casuarina Drive, Melbourne Beach, Florida 32951, Melbourne Beach, FLORIDA 32951 | 2013-01-31 |
| 1265797328 | Jennifer Eileen Konowitz | Nurse Practitioner | 143 Caledonia Dr, Melbourne Bch, FL 32951 | 2012-07-05 |
| 1093838724 | Kara Elise Sadlersmith | Occupational Therapy Assistant | 310 Sunset Blvd, Melbourne Beach, FL 32951-2052 | 2007-04-09 |
| 1134504335 | Yasamin Sarpoolaki | Behavioral Analyst | 503 Riverside Cir, Melbourne Beach, FL 32951-2103 | 2015-07-29 |
| 1518038306 | Edward Eli Lancaster IIi | Dentist | 505 Magnolia Ave, Melbourne Beach, FL 32951-2123 | 2006-11-13 |
| 1588935308 | Joseph E Bonar | Physical Therapist | 300 Shannon Ave, Melbourne Beach, FL 32951-2150 | 2012-01-25 |
| 1275942674 | Melissa Mefford | Occupational Therapist | 523 Andrews Dr, Melbourne Beach, FL 32951-2157 | 2014-08-11 |
| 1124276902 | Meghan N Killingsworth | Developmental Therapist | 901 Atlantic St, Melbourne Beach, FL 32951-2210 | 2008-09-04 |
| 1952842742 | David Charles Randall | Physical Therapist | 527 Avenue B, Melbourne Beach, FL 32951-2216 | 2017-03-14 |
| 1760814388 | Thomas Vincent Gale | Counselor | 1100 Atlantic St, Melbourne Beach, FL 32951-2308 | 2013-08-06 |
| Find all providers in zip 32951 | ||||
| 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 |
|---|---|---|---|---|
| 1225592041 | Central Florida Radiology LLC | Radiology | Standup Mri of Brevrd, 6023 Farcenda Place - Suite 101, Melbourne, FL 32940-7340 | 2019-01-25 |
| 1235365578 | Chad Phillip Berlin | Radiology | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2009-06-01 |
| 1487851812 | Temoor Sajjad Anwar | Radiology | 765 W Nasa Blvd, Melbourne, FL 32901-1815 | 2007-06-29 |
| 1760694285 | Michael Wayne Chen | Radiology | 1350 Hickory Street, Melbourne, FL 32901-3224 | 2007-05-04 |
| 1710902812 | Alan K Marumoto | Radiology | 1800 W. Hibiscus Blvd, Suite 100, Melbourne, FL 32901-2629 | 2006-07-12 |
| 1033165865 | David Samuel Epstein | Radiology | 1775 W Hibiscus Blvd, Ste 215, Melbourne, FL 32901-2620 | 2006-05-25 |
| 1366419384 | Brian H Breslaw | Radiology | 1350 South Hickory Street, Holmes Regional Medical Center/radiology, Melbourne, FL 32901-3278 | 2006-03-08 |
| 1437147311 | Harbor City Medical Imaging Pa | Radiology | 1920 S Babcock St, Melbourne, FL 32901-4445 | 2005-10-13 |
| 1275521163 | Thomas R Foster | Radiology | 709 S Harbor City Blvd, Suite 100, Melbourne, FL 32901-1938 | 2005-10-13 |
| 1639163975 | Neuroskeletal Imaging LLC | Radiology | 2222 S Harbor City Blvd, Melbourne, FL 32901-5591 | 2005-09-01 |
| Find all providers in MELBOURNE | ||||
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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.