Russell N Nusynowitz (NPI# 1588661532, PAC ID# 9739083296) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1588661532 |
| PAC ID by PECOS | 9739083296 |
| Professional Enrollment ID | I20041012000508 |
| Full Name | Russell N Nusynowitz |
| Organization Legal Name | SAND LAKE IMAGING LLLP |
| Address |
9350 Turkey Lake Rd Orlando FL 32819-7319 |
| Phone Number | 4073632772 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1986 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7517949274 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100157 | LAKELAND REGIONAL MEDICAL CENTER |
| 100052 | WINTER HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9350 Turkey Lake Rd, Orlando, FL 32819-7319 | 4073632772 | SAND LAKE IMAGING LLLP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 29% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 29% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 100% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 97% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 97% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 40% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 40% |
| Organization Legal Name | SAND LAKE IMAGING LLLP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen M Bravo | Diagnostic Radiology | Sand Lake Imaging Lllp | 809 County Rd, 466 Unit 400, Lady Lake, FL 32159-4205 |
| Robert A Posniak | Diagnostic Radiology | Sand Lake Imaging Lllp | 809 County Rd, 466 Unit 400, Lady Lake, FL 32159-4205 |
| Charlotte D Elenberger | Diagnostic Radiology | Sand Lake Imaging Lllp | 809 County Rd, 466 Unit 400, Lady Lake, FL 32159-4205 |
| Street Address |
9350 TURKEY LAKE RD |
| City | ORLANDO |
| State | FL |
| Zip | 32819-7319 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter J Casella | Obstetrics/gynecology | Florida Woman Care LLC | 7640 Docs Grove Cir, Orlando, FL 32819 |
| Usha Jain | General Practice | 4800 S Apopka Vineland Rd, Orlando, FL 32819-3127 | |
| David H. Hash | Pediatric Medicine | The Nemours Foundation | 5018 Dr Phillips Blvd, Orlando, FL 32819-3310 |
| Brenda L Deforrest | Optometry | 5006 Dr Phillips Blvd, Orlando, FL 32819-3310 | |
| Steven Newton | Chiropractic | 5030 Dr Phillips Blvd, Orlando, FL 32819-3310 | |
| Florence Chavanne | Nurse Practitioner | House Call M.d.'s L.l.c | 5006 Calle De Sol, Orlando, FL 32819-3311 |
| Cherez Pouncey | Nurse Practitioner | House Call M.d.'s L.l.c | 5006 Calle De Sol, Orlando, FL 32819-3311 |
| Kacian S Brown | Family Medicine | House Call M.d.'s L.l.c | 5006 Calle De Sol, Orlando, FL 32819-3311 |
| Faisal Aziz Chaudhry | Interventional Pain Management | Florida Pain and Rehabilitation Associates Inc | 5948 Turkey Lake Rd, Orlando, FL 32819-4202 |
| Afolabi Sangosanya | Cardiovascular Disease (cardiology) | Simonmed Imaging Florida LLC | 6000 Turkey Lake Rd, Suite 107, Orlando, FL 32819-4205 |
| Find all physicians in zip 32819 | |||
| City | ORLANDO |
| Zip Code | 32819 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ORLANDO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Russell N Nusynowitz.
| 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.