Dawn N Delavallade (NPI# 1750445086, PAC ID# 9739124249) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1750445086 |
| PAC ID by PECOS | 9739124249 |
| Professional Enrollment ID | I20100222000455 |
| Full Name | Dawn N Delavallade |
| Organization Legal Name | RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC |
| Address |
1946 Lake Roberts Landing Dr Winter Garden FL 34787-5579 |
| Phone Number | 9525951100 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3274858295 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100286 | PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE |
| 260040 | COX MEDICAL CENTERS |
| 440091 | MEMORIAL HEALTHCARE SYSTEM, INC |
| 100220 | GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM |
| 140189 | SARAH BUSH LINCOLN HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 422 Lakefront Dr, Panama City Beach, FL 32413-1084 | 2012301460 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 1946 Lake Roberts Landing Dr, Winter Garden, FL 34787-5579 | 9525951100 | RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC |
| 1946 Lake Roberts Landing Dr, Winter Garden, FL 34787-5579 | 7865962314 | RADIOLOGY ASSOCIATES OF SOUTH FLORIDA LLC |
| Organization Legal Name | RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian S Vankirk | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 31022 Troutdale Ridge Rd, Evergreen, CO 80439-7734 |
| Cynthia L Wallentin | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 239 Garden City Dr, Cranston, RI 02920-8215 |
| Celine Melitz | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 9943 Fieldthorn St, San Diego, CA 92127-4415 |
| David J Spirer | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 770 Dunhill Dr, Buffalo Grove, IL 60089-1515 |
| Barry S Highbloom | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 17655 Bridgeway Circle Dr, Chesterfield, MO 63005-4219 |
| Jay H Donohoo | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 01641 Sw Comus St, Portland, OR 97219-7858 |
| James S Rickards | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 1266 Nw Countryside Ct, Mcminnville, OR 97128-9528 |
| John D Mcarthur | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 4610 E Cerro De Aguila, Tucson, AZ 85718-6931 |
| Christopher S Lawton | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 220 Fliva Ave Nw, Fort Walton Beach, FL 32548-4257 |
| Stuart A Bobman | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 13681 Doctor Way, Fort Myers, FL 33912-4300 |
| Street Address |
1946 LAKE ROBERTS LANDING DR |
| City | WINTER GARDEN |
| State | FL |
| Zip | 34787-5579 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Esther Jones | Nurse Practitioner | Cappleman Edwards and Castello Md Pa | 436 N Dillard St, Winter Garden, FL 34787-2817 |
| Jo J Reeves | Chiropractic | 424 N Dillard St, Winter Garden, FL 34787-2817 | |
| John Mark Cappleman | Internal Medicine | Cappleman Edwards and Castello Md Pa | 436 N Dillard St, Winter Garden, FL 34787-2817 |
| Patricia Audrey Chuck | Nurse Practitioner | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
| Banji Awosika | Nephrology | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
| Hisham Izzadin Ibrahim | Nephrology | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
| Nihar Pinakin Jani | Nephrology | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
| Muhammad A Malik | Nephrology | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
| Daphney Zidor | Nurse Practitioner | West Orange Nephrology LLC | 1210 E Plant St, Suite 120, Winter Garden, FL 34787-2996 |
| Eldar Baigabatov | Internal Medicine | 36 S Main St, Winter Garden, FL 34787-3125 | |
| Find all physicians in zip 34787 | |||
| City | WINTER GARDEN |
| Zip Code | 34787 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WINTER GARDEN + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Dawn N Delavallade.
| 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.