Sergei Datny, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME36562 Issued in FL

Practice address

1 W Camino Real
Suite #218
Boca Raton, FL 33432-5966

Phone

(561) 347-1764

Fax

(561) 347-1769

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912027889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W CAMINO REAL",
            "address_2": "SUITE #218",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325966",
            "telephone_number": "561-347-1764",
            "fax_number": "561-347-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W CAMINO REAL",
            "address_2": "SUITE #218",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325966",
            "telephone_number": "561-347-1764",
            "fax_number": "561-347-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATNY",
        "first_name": "SERGEI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME36562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria L. Darrow, D.C.
• Laura Elizabeth Dart, OTR/L
• Carisma Darthard
• Habeba Darwesh
• Luann Lins Dasilva, OTR
• Christina Dauer, MPH, R.D., LDN, CDE
• Kayla Daugherty, PT, DPT
• John Daula, MD
• Dawn M Davanzo, M.D.
• David a. Clayman, M.D., L.L.C.

• General Practice Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.