Active NPI
Svetlana I Denissova, MSC
- Radiologic Technologist
- Deerfield Beach, FL
National Provider Identifier
1356640734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- TPR299
- Practice address
- 1192 E Newport Center Dr
Radiation Oncology
Deerfield Beach, FL 33442-7753 - Phone
- (954) 698-3690
- Fax
- (954) 698-3693
- NPI assigned
- Mar 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | TPR299 | FL | Primary |
Addresses
Primary practice location
1192 E Newport Center Dr
Radiation Oncology
Deerfield Beach, FL 33442-7753
Mailing address
1192 E Newport Center Dr
Radiation Oncology
Deerfield Beach, FL 33442-7753
Phone (954) 698-3690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TPR299 | FL | MD | Radiologic Technologist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1356640734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1192 E NEWPORT CENTER DR",
"address_2": "RADIATION ONCOLOGY",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334427753",
"telephone_number": "954-698-3690",
"fax_number": "954-698-3693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1192 E NEWPORT CENTER DR",
"address_2": "RADIATION ONCOLOGY",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334427753",
"telephone_number": "954-698-3690",
"fax_number": "954-698-3693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENISSOVA",
"first_name": "SVETLANA",
"middle_name": "I",
"credential": "MSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "FL",
"license": "TPR299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.