MS. POLLY WISHON-SHAH (NPI# 1821288788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821288788 |
Entity Type | Individual |
Full Name | MS. POLLY WISHON-SHAH |
Credential | AS,RT,R,M,CT,MR |
Practice Address |
6451 N Federal Hwy Suite 700 Ft Lauderdale FL 33308-1402 |
Mailing Address |
7460b E Saint Charles Rd Columbia MO 65202-6801 |
Practice Telephone | 8007829029 |
Mailing Telephone | 5735873426 |
Enumeration Date | 2007-07-27 |
Last Update Date | 2007-07-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247100000X | Radiologic Technologist | 276262 | MO | Technologists, Technicians & Other Technical Service Providers |
Street Address |
6451 N FEDERAL HWY SUITE 700 |
City | FT LAUDERDALE |
State | FL |
Zip Code | 33308-1402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376834283 | Thomas John Painter | Surgery | 6451 N Federal Hwy, Ft Lauderdale, FL 33308-1402 | 2011-04-26 |
1043524515 | Genecco Rehab Inc | Physical Therapist | 6451 N Federal Hwy, Suite 127, Ft Lauderdale, FL 33308-1402 | 2010-07-27 |
1932430485 | Valerie Wideroff | Physical Therapist | 6451 N Federal Hwy, Suite 127, Ft Lauderdale, FL 33308-1402 | 2010-01-22 |
1457588618 | Peter Nicholas Gottschalk | Emergency Medicine | 6451 N Federal Hwy, Ste 800, Ft Lauderdale, FL 33308-1402 | 2009-06-16 |
1407096159 | Max Zaslavsky Dmd Pa | Dentist | 6451 N Federal Hwy, Ste 129, Ft Lauderdale, FL 33308-1402 | 2009-02-20 |
1962678805 | Dennis Gee | Psychiatry & Neurology | 6451 N Federal Hwy, Suite 800, Ft Lauderdale, FL 33308-1402 | 2008-05-01 |
1487861688 | Joel Rahman Simmons | Radiology | 6451 N Federal Hwy, Ste. 800, Ft Lauderdale, FL 33308-1402 | 2007-05-17 |
1356415251 | Holy Cross Hospital Inc. | Durable Medical Equipment & Medical Supplies | 6451 N Federal Hwy, Suite 116, Ft Lauderdale, FL 33308-1402 | 2006-11-20 |
1114098522 | Nursing Network, Inc. | Home Health | 6451 N Federal Hwy, Suite 112, Ft Lauderdale, FL 33308-1402 | 2006-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
Find all providers in zip 33308 |
Taxonomy Code | 247100000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750566378 | Diagnostic Md, LLC | Radiologic Technologist | 5245 Sw 38th Ave, Ft Lauderdale, FL 33312-8227 | 2008-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932672540 | All Injury & Diagnostic Clinic LLC | Radiologic Technologist | 125 Mason Ave Ste A, Daytona Beach, FL 32117-5017 | 2019-01-07 |
1134675036 | Luis Raul Rodriguez | Radiologic Technologist | 9056 Sw 148th Ct, Miami, FL 33196-4119 | 2016-08-30 |
1003362211 | Jeanette Christine Gillespie | Radiologic Technologist | 1357 Hillside Dr., Tarpon Springs, FL 34689-2011 | 2016-08-28 |
1366996670 | Jennifer Tzigos | Radiologic Technologist | 2586 Windwood Dr, Clearwater, FL 33763-1254 | 2016-08-04 |
1033566112 | Lori Ganim | Radiologic Technologist | 10000 Bay Pines Blvd North, St Petersburg, FL 33708 | 2016-05-19 |
1629432695 | Emmanuel Jose | Radiologic Technologist | 1489 N Military Trl Ste 217, West Palm Beach, FL 33409-6057 | 2016-04-06 |
1942672860 | Julia Mcdaniel | Radiologic Technologist | 1420 Lantry Ct, Orlando, FL 32804-1220 | 2015-10-30 |
1548638521 | Regional Medical Imaging, Inc | Radiologic Technologist | 7475 Nw 4th St, Plantation, FL 33317-2227 | 2015-09-09 |
1750764387 | Jennifer Lynn Howell | Radiologic Technologist | 5901 Broken Sound Parkway #450, Boca Raton, FL 33487-2787 | 2015-07-01 |
1164817367 | Gang Qiu | Radiologic Technologist | 8090 Atlantic Blvd Apt G92, Jacksonville, FL 32211-8573 | 2015-04-03 |
Find all providers with the same taxonomy |
City | FT LAUDERDALE |
Zip Code | 33308 |
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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.