Unknown Individual – Diagnostic Radiology Physician, NPI 1780639146
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3660, Broadway, Tropical Trailer Park, Fort Myers, Lee County, Florida, 33901, United States
FORT MYERS, FL 339018005
Phone: (239) 936-2316
Type: Mailing
3680, Broadway, Fort Myers, Lee County, Florida, 33901, United States
FORT MYERS, FL 339018005
Phone: (239) 936-2316
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 71010 | X-ray of chest, 1 view, front | 597 | 493 |
| DIAGNOSTIC RADIOLOGY | FL | 71250 | CT scan chest | 26 | 26 |
| DIAGNOSTIC RADIOLOGY | FL | 73110 | X-ray of wrist, minimum of 3 views | 25 | 25 |
| DIAGNOSTIC RADIOLOGY | FL | 73562 | X-ray of knee, 3 views | 70 | 70 |
| DIAGNOSTIC RADIOLOGY | FL | 73630 | X-ray of foot, minimum of 3 views | 56 | 56 |
| DIAGNOSTIC RADIOLOGY | FL | 74177 | CT scan of abdomen and pelvis with contrast | 32 | 32 |
| DIAGNOSTIC RADIOLOGY | FL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| - | SC | |
| - | CO | |
| - | FL | |
| - | MN | |
| Diagnostic Radiology | FL |
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