Regina B Portnova
Internal Medicine

Address: 2951 Nw 49th Ave, Suite 201, Lauderdale Lakes, FL 33313-1608
Phone: 9454865700

Regina B Portnova (NPI# 1114908373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1114908373
Entity Type Individual
Full Name Regina B Portnova
Credential M.D.
Gender Female
Practice Address 2951 Nw 49th Ave
Suite 201
Lauderdale Lakes
FL 33313-1608
Practice Telephone 9454865700
Practice Fax Number 9544842574
Mailing Address 2951 Nw 49th Ave
Suite 201
Lauderdale Lakes
FL 33313-1608
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2005-11-07
Last Update Date 2015-05-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians ME91789 FL

Other Provider Identifier

State Identifier Issuer Type Code
FL 271339000 MEDICAID

Physician Overview

NPI 1114908373
PAC ID by PECOS 4587620885
Professional Enrollment ID I20041208000754
Full Name Regina B Portnova
Gender F
Credential MD
Graduation Year 1991
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100029 NORTH SHORE MEDICAL CENTER
100224 UNIVERSITY HOSPITAL AND MEDICAL CENTER

Office Location

Street Address 2951 NW 49TH AVE
SUITE 201
City LAUDERDALE LAKES
State FL
Zip Code 33313-1608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396732673 Kenneth Joseph Tourgeman Internal Medicine 2951 Nw 49th Ave, Suite # 301, Lauderdale Lakes, FL 33313-1600 2005-10-03
1790160463 Stephanie Marie Dewberry Nurse Practitioner 2951 Nw 49th Ave, Suite 202, Lauderdale Lakes, FL 33313-1600 2015-07-23
1649660697 Diego Montes General Practice 2951 Nw 49th Ave, Lauderdale Lakes, FL 33313-1600 2015-01-29
1992132872 Bela Kovacs Md Pa Clinic/Center 2951 Nw 49th Ave, Central Building, Suite 307, Lauderdale Lakes, FL 33313-1600 2013-10-09
1952736688 Stephanie Woodburn Nurse Practitioner 2951 Nw 49th Ave, 101, Lauderdale Lakes, FL 33313-1600 2013-09-12
1598015323 West Broward Nephrology Pa Internal Medicine 2951 Nw 49th Ave, Suite 301, Lauderdale Lakes, FL 33313-1617 2012-09-19
1952603052 Gregory Altimari Nurse Practitioner 2951 Nw 49th Ave, Suite 205, Lauderdale Lakes, FL 33313-1600 2010-11-22
1255651212 Deborah Marie Charvat Nurse Practitioner 2951 Nw 49th Ave, 202, Lauderdale Lakes, FL 33313-1600 2010-06-01
1235394222 Access Family Health Care LLC Clinic/Center 2951 Nw 49th Ave, Suite 104 C, Lauderdale Lakes, FL 33313-1600 2008-07-19
1871764431 Edward D. Hirsch Md Pa Internal Medicine 2951 Nw 49th Ave, Suite 205, Lauderdale Lakes, FL 33313-1600 2008-03-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598232225 South Shore Opticians Lauderhill Inc. Technician/Technologist 1375 I North State Road 7, Lauderhill, FL 33313 2018-10-31
1437630399 Guy Desanctis Physical Therapy Assistant 6530 W. Sunrise Blvd, Plantation, FL 33313 2018-08-28
1710467360 Radiant Private Care, LLC In Home Supportive Care 1480 Nw 52nd Ave, Lauderhill, FL 33313 2018-08-14
1851877435 Jb and Jb Health Care LLC Obstetrics & Gynecology 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 2018-07-17
1215421813 Erika Jorgensen Counselor 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 2018-06-18
1750884003 Mgb Behavioral Health Services Case Management 4780 N W 24 Court, C215, Lauderhill, FL 33313 2018-03-13
1598282691 Angie Melissa Cruz Santiago Behavior Technician 7000 Nw 17th St, Apt 212, Plantation, FL 33313 2017-08-29
1851818926 Aisha Lasha Thompson Behavior Technician 5301 Nw 25th Ct, 202, Lauderhill, FL 33313 2017-08-29
1093230476 Flamingo Housing Group, Inc In Home Supportive Care 1811 Nw 58th Avenue, Lauderhill, FL 33313 2017-08-07
1386188407 Gilda Moltimer Nurse Practitioner 6307 Nw 29th Ct, Sunrise, FL 33313 2016-12-08
Find all providers in zip 33313

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861687485 Basil Mangra Md Pa Internal Medicine 2518 N State Road 7, Lauderdale Lakes, FL 33313-2777 2007-09-06
1518087527 Harry Marcelin Internal Medicine 4050 Nw 34th St, Lauderdale Lakes, FL 33319-5721 2007-03-31
1871501833 Hamsakumari Ramasubramaniam Internal Medicine 4700 N State Road 7, Lauderdale Lakes, FL 33319-5800 2006-08-04
1336165349 Regina B Portnova Md Inc Internal Medicine 2951 Nw 49 Ave, Suite 201, Lauderdale Lakes, FL 33313 2006-07-14
1114952413 Wagdy Tadros Internal Medicine 4469 N State Road 7, Lauderdale Lakes, FL 33319-5876 2006-07-12
1659318277 Pricare of Broward, Inc. Internal Medicine 3670 W Oakland Park Blvd, Lauderdale Lakes, FL 33311-1148 2006-06-01
1356344493 Humaira V Khan Internal Medicine 4850 W Oakland Park Blvd, Ste 132, Lauderdale Lakes, FL 33313-7268 2005-05-23
1639651326 Judeen Dian Burke Internal Medicine 1040 Nw 10th Ave, Lauderdale Lakes, FL 33311-6101 2018-08-30
1851820922 Mirza Medical Pa Internal Medicine 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 2017-06-12
1700252079 Lauderdale Lakes Medical Center, Inc. Internal Medicine 3296 N State Road 7, Lauderdale Lakes, FL 33319-5615 2015-08-20
Find all providers in LAUDERDALE LAKES

Competitor

Search similar providers

City LAUDERDALE LAKES
Zip Code 33313

Improve Information

Please comment or provide details below to improve the information on Regina B Portnova.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches