Daniel Ettedgui (NPI# 1972572246, PAC ID# 4587618244) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1972572246 |
| PAC ID by PECOS | 4587618244 |
| Professional Enrollment ID | I20050307000141 |
| Full Name | Daniel Ettedgui |
| Address |
7284 W Palmetto Park Rd Suite 105s Boca Raton FL 33433-3406 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1988 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100168 | BOCA RATON REGIONAL HOSPITAL |
| 100268 | WEST BOCA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7284 W Palmetto Park Rd, Suite 105s, Boca Raton, FL 33433-3406 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_412_overall | Documentation of Signed Opioid Treatment Agreement | 100% | |
| MIPS_EC_414_overall | Evaluation or Interview for Risk of Opioid Misuse | 99% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 21% |
| Street Address |
7284 W PALMETTO PARK RD SUITE 105S |
| City | BOCA RATON |
| State | FL |
| Zip | 33433-3406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather M Cohen Meiselman | Clinical Social Worker | 8067 Mizner Ln, Boca Raton, FL 33433-1126 | |
| Jill S Howard | Internal Medicine | Infectious Disease Associates Pa | 1050 N W 15th St, Suite 205, Boca Raton, FL 33433-1375 |
| Shiri Zweibel | Qualified Speech Language Pathologist | Florida Movement Therapy Center-boca Raton, LLC | 21345 Powerline Rd, Suite 100, Boca Raton, FL 33433-2317 |
| Kortnee Sindel | Physical Therapy | Florida Movement Therapy Center-boca Raton, LLC | 21345 Powerline Rd, Suite 100, Boca Raton, FL 33433-2317 |
| Edward P Gray | Occupational Therapy | Florida Movement Therapy Center-boca Raton, LLC | 21345 Powerline Rd, Suite 100, Boca Raton, FL 33433-2317 |
| Lori Wasserman | Psychologist, Clinical | 21301 Powerline Rd, Suite 209, Boca Raton, FL 33433-2390 | |
| Danielle Gurion | Psychologist, Clinical | 21301 Powerline Rd, Suite 209, Boca Raton, FL 33433-2390 | |
| Suzanne Wachtel | Clinical Social Worker | 21301 Powerline Rd, Suite 304, Boca Raton, FL 33433-2391 | |
| Frances M Rizzo | Clinical Social Worker | 21301 Powerline Rd, Suite 304, Boca Raton, FL 33433-2391 | |
| Pam M Brown | Clinical Social Worker | 21301 Powerline Rd, Suite 304, Boca Raton, FL 33433-2391 | |
| Find all physicians in zip 33433 | |||
| City | BOCA RATON |
| Zip Code | 33433 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | BOCA RATON + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Daniel Ettedgui.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.