LIANA ELLYN DAWSON


Address: 1350 Hickory St, Melbourne, FL 32901-3224
Phone: 3214341771

LIANA ELLYN DAWSON (NPI# 1780786285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780786285
Entity Type Individual
Full Name LIANA ELLYN DAWSON
Credential M.D.
Practice Address 1350 Hickory St
Melbourne
FL 32901-3224
Mailing Address 2012 Gunn Rd
Winter Park
FL 32792-5021
Practice Telephone 3214341771
Mailing Fax Number 4079517471
Enumeration Date 2006-09-04
Last Update Date 2020-07-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
059978 CT Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
ME986924 FL Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
K0451 TX Allopathic & Osteopathic Physicians
Y 2084V0102X Psychiatry & Neurology
Specialization: Vascular Neurology
ME98624 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE - HF MF458 01
FL PENDING 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2800 Main St, Bridgeport, CT 066064201 4752105440 4752105022

Office Location

Street Address 1350 HICKORY ST
City MELBOURNE
State FL
Zip Code 32901-3224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437159670 Igor Balatsky Internal Medicine 1350 Hickory St, Hrmc/hospitalist Program, Melbourne, FL 32901-3224 2005-07-29
1346855301 Anushree Patel Anesthesiologist Assistant 1350 Hickory St, Melbourne, FL 32901-3224 2020-09-15
1316565492 Megan Bellinger Dietitian, Registered 1350 Hickory St, Melbourne, FL 32901-3224 2020-07-06
1427673011 Jessica Joy Milnor Nurse Anesthetist, Certified Registered 1350 Hickory St, Melbourne, FL 32901-3278 2020-06-10
1487274205 Eric Cuthbert Registered Nurse 1350 Hickory St, Melbourne, FL 32901-3224 2020-04-22
1366061970 Lisa Kistler Pharmacist 1350 Hickory St, Melbourne, FL 32901-3278 2020-04-14
1194344168 Tracy Eichelberger Respiratory Therapist, Registered 1350 Hickory St, Melbourne, FL 32901-3278 2020-04-10
1477198752 Matthew Robert Ferraro Pharmacist 1350 Hickory St, Melbourne, FL 32901-3224 2019-11-11
1356983092 Parvin Deidri Daneshvar Registered Nurse 1350 Hickory St, Melbourne, FL 32901-3224 2019-10-15
1972155489 David Nester Lucas Family Medicine 1350 Hickory St, Melbourne, FL 32901-3224 2019-07-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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Taxonomy Information

Taxonomy Code 2084V0102X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Vascular Neurology

Taxonomy Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376745935 Madhu B Vijayappa Psychiatry & Neurology 8984 Sw 64th Ln, Gainesville, FL 32608-8562 2007-06-04
1194837708 Sally B Zachariah Psychiatry & Neurology 10000 Bay Pines Blvd,neurology Section, Vamedical Center,bay Pines, Bay Pines, FL 33744 2006-08-31
1740258110 Nils H. Mueller-kronast Psychiatry & Neurology 8756 Boynton Beach Blvd Ste 2300, Boynton Beach, FL 33472-4439 2006-03-10
1063405975 Mary June Derbenwick Psychiatry & Neurology 350 N Clyde Morris Blvd, Daytona Beach, FL 32114-2733 2005-08-25
1215475025 Miami Stroke, LLC Psychiatry & Neurology 11750 Sw 40th St, Miami, FL 33175-3530 2017-02-01
1972918431 David Stone Psychiatry & Neurology 1700 S Tamiami Trl, Sarasota, FL 34239-3509 2014-06-24
1972897023 North Broward Hospital District Psychiatry & Neurology 201 E Sample Rd, Suite 106, Pompano Beach, FL 33064-3502 2011-06-07
1124337290 Maxim Vladimirovich Mokin Psychiatry & Neurology 2 Tampa General Cir, 3rd Floor, Tampa, FL 33606-3603 2010-10-06
1144547134 Muhammad Zeeshan Memon Psychiatry & Neurology 1611 Nw 12th Ave, Miami, FL 33136 2010-04-29
1497966394 Ridwan Lin Psychiatry & Neurology 201 E Sample Rd, Pompano Beach, FL 33064-3502 2007-05-24
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Competitor

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City MELBOURNE
Zip Code 32901

Improve Information

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Dataset Information

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.

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