Dr. Samuel W. Mietling, MD
Vascular & Interventional Radiology Physician in Jacksonville, Florida
NPI 1750347589
Samuel W. Mietling is a Vascular & Interventional Radiology Physician based in Augusta, FL and is specialized in Vascular & Interventional Radiology. Samuel W. Mietling practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Samuel W. Mietling is 1750347589 and holds a License No. 051686 (Florida).
The current practice location address for Samuel W. Mietling is 2416 Dunn Avenue, Jacksonville, FL and can be reached out via phone at 904-353-3664 and via fax at 904-353-3858.
Location: 2416 Dunn Avenue, Jacksonville, FL, 30914-3129
Provider Profile Details
NPI Number
1750347589
Provider Name
Samuel W. Mietling
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2416 Dunn Avenue, Jacksonville, FL, 30914-3129
Phone Number
904-353-3664
Fax Number
904-353-3858
Provider Enumeration Date
04/21/2006
Last Update Date
06/15/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00952795C | 05 | GA | |
| 00952795A | 05 | GA | |
| 00952795B | 05 | GA | |
| 1346357217 | 01 | NPI - VASCULAR RADIOLOGY | |
| 83555 | 01 | SC | SC MEDICAL LICENSE |
| G51686 | 05 | SC |
Provider Business Practice Location Address Details
Address
2416 Dunn Avenue
City
State
Zip
32218-1015
Phone Number
904-353-3664
Fax Number
904-353-3858
Provider Business Mailing Address Details
Address
2416 Dunn Avenue
City
State
Zip
32218-1015
Phone Number
904-353-3664
Fax Number
904-353-3858
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
ME49311 (Florida)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Neuroimaging
Taxonomy
License No.
ME49311 (Florida)
Definition
A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
051686 (Georgia)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
License No.
051686 (Georgia)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
License No.
051686 (Georgia)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
051686 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
051686 (Georgia)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Provider's Taxonomy Details 8
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
License No.
051686 (Georgia)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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