DR. KEITH ROBERTS RUNYAN (NPI# 1104801018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104801018 |
| Entity Type | Individual |
| Full Name | DR. KEITH ROBERTS RUNYAN |
| Credential | M.D. |
| Practice Address |
3305 W Maritana Dr St Pete Beach FL 33706 |
| Practice Telephone | 8135020529 |
| Mailing Telephone | 8135020529 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2018-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
ME62416 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 262962300 | 05 | |
| FL | STATE LICENSE NUMBER | ME62416 | 01 |
| Street Address |
3305 W MARITANA DR |
| City | ST PETE BEACH |
| State | FL |
| Zip Code | 33706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669901278 | Daphne Priya Lazarus | Licensed Practical Nurse | 519 Plaza Seville Court, #37, Treasure Island, FL 33706 | 2017-06-07 |
| 1619304771 | Amanda Gibson | Case Manager/Care Coordinator | 11605 3rd Street E, Treasure Island, FL 33706 | 2013-10-03 |
| 1235571043 | Carl William Winans | General Practice | 106-15th Ave, St. Pete Beach, FL 33706 | 2013-07-22 |
| 1568625234 | Bay Area Taxi Service Inc | Taxi | 5201 Gulf Boulevard, St Pete Beach, FL 33706 | 2008-07-03 |
| 1760652804 | Asta Elena Grinis | Dentist | 8351 Blind Pass Rd, St Pete Beach, FL 33706 | 2008-03-05 |
| 1841419900 | Vanessa Kathleen Shields | Chiropractor | 127 86th Avenue, Treasure Island, FL 33706 | 2007-04-25 |
| 1275759656 | Gulf Coast Recovery Inc | Clinic/Center | 145 108th Avenue, Treasure Island, FL 33706 | 2007-04-17 |
| 1639290877 | Herbert Gersh | Physical Medicine & Rehabilitation | 12336 Sun Vista Ct, Treasure Island, FL 33706 | 2007-04-03 |
| 1548385347 | Tania Ann Culverhouse | Speech-Language Pathologist | 11420 4th Street East, Treasure Island, FL 33706 | 2007-03-20 |
| 1932345873 | Allen Lindsay, Ph.d, Pa | Psychologist | 100 Corey Ave, St Pete Beach, FL 33706 | 2008-12-24 |
| Find all providers in zip 33706 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896281 | Meraki Medical Center LLC | Internal Medicine | 12565 Orange Dr Ste 401, Davie, FL 33330-4305 | 2020-09-21 |
| 1972117109 | Mogilishetty Pllc | Internal Medicine | 10012 Gulf Center Dr Ste 5292, Fort Myers, FL 33913-8904 | 2020-09-04 |
| 1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
| 1245853746 | Ronald M. Goldin, M.d.,p.a. | Internal Medicine | 4215 Burns Rd Ste 240, Palm Beach Gardens, FL 33410-4625 | 2020-05-19 |
| 1447879739 | F Duncan Scott Md Pa | Internal Medicine | 4516 E Highway 20 # 108, Niceville, FL 32578-9755 | 2020-04-16 |
| 1245879055 | Atza Swicht Transportation Corp | Internal Medicine | 1309 Santa Rosa Dr Apt 202, Kissimmee, FL 34741-7572 | 2019-12-26 |
| 1427699859 | Nephro Care Solutions, LLC | Internal Medicine | 1401 Sw 107th Ave Ste 301m, Miami, FL 33174-2553 | 2019-10-07 |
| 1285282871 | Lighthouse Renal Group Pa | Internal Medicine | 951 Nw 13th St Ste 5b, Boca Raton, FL 33486-2337 | 2019-08-28 |
| 1427617265 | Sunstate Kidney & Hypertension LLC | Internal Medicine | 9907 Warm Stone St, Thonotosassa, FL 33592-3350 | 2019-06-06 |
| 1205490091 | Central Florida Nephrology Pllc | Internal Medicine | 7350 Futures Dr Ste 1, Orlando, FL 32819-9082 | 2019-04-26 |
| Find all providers with the same taxonomy | ||||
| City | ST PETE BEACH |
| Zip Code | 33706 |
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| 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.