PREVENTIVE NEPHROLOGY, PA (NPI# 1114310331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114310331 |
| Entity Type | Organization |
| Organization Name | PREVENTIVE NEPHROLOGY, PA |
| Practice Address |
5050 County Road 472 Oxford FL 34484-3750 |
| Mailing Address |
1218 Howard Rd Leesburg FL 34748-8320 |
| Practice Telephone | 3057059922 |
| Mailing Telephone | 3057059922 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | DAVID WILLIAM MOSKOWITZ (PRESIDENT) |
| Authorized Official Telephone | 3057059922 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
5050 COUNTY ROAD 472 |
| City | OXFORD |
| State | FL |
| Zip Code | 34484-3750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053601211 | Promise Hospital of Florida At The Villages, Inc. | Long Term Care Hospital | 5050 County Road 472, Oxford, FL 34484-3750 | 2011-04-08 |
| 1629532023 | Select Specialty Hospital - The Villages Inc | Long Term Care Hospital | 5050 County Road 472, Oxford, FL 34484-3750 | 2019-01-30 |
| 1942714993 | Sunshine Patient Care LLC | Family Medicine | 5050 County Road 472, Oxford, FL 34484-3750 | 2017-11-29 |
| 1346753225 | Asm Rahman Md LLC | Internal Medicine | 5050 County Road 472, Oxford, FL 34484-3750 | 2017-11-14 |
| 1225465800 | Dana Lynn Giles Md Pa | Internal Medicine | 5050 County Road 472, Oxford, FL 34484-3750 | 2013-09-27 |
| 1205106283 | Susan Marjorie Skolly | Pharmacist | 5050 County Road 472, Oxford, FL 34484-3750 | 2012-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760723 | Advanced Surgery Center of Oxford | Clinic/Center | 12117 Cr 103, Oxford, FL 34484 | 2019-09-24 |
| 1124571500 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4232 E County Road 466, Suite 101, Oxford, FL 34484 | 2016-08-02 |
| 1336513639 | Balanced Wellbeing LLC | Psychiatry & Neurology | 10840 North Us Highway, Suite 301, Oxford, FL 34484 | 2015-11-24 |
| 1558616052 | Junzen Ballesil Domingo | Physical Therapist | 14401 S. Military Trail, Apt 110, Delray Beach, FL 34484 | 2012-07-20 |
| 1285960229 | Tracy Renna | Occupational Therapist | 4904 Ne 123rd Ln, Oxford, FL 34484 | 2009-10-27 |
| 1588766125 | Richard M Roach | Urology | 12109 County Road 103 Ste 2, Oxford, FL 34484 | 2006-09-03 |
| 1942238506 | Hartford Health Services, LLC | Home Health | 11031 N Us Highway 301 Ste 103, Oxford, FL 34484 | 2006-06-30 |
| 1962046151 | Solace Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 12117 Cr 103, Oxford, FL 34484 | 2019-10-31 |
| 1689142259 | Kendra Nicole Wilson | Physician Assistant | 10840 N Us Highway 301, Oxford, FL 34484 | 2018-11-12 |
| 1841451507 | Rebecca M Herndon | Occupational Therapist | 4725 Bellwether Ln, Oxford, FL 34484 | 2008-06-24 |
| Find all providers in zip 34484 | ||||
| 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 |
|---|---|---|---|---|
| 1134496805 | Lawrence David Bohan | Internal Medicine | 5665 Deepwater Dr, Oxford, MD 21654-1508 | 2011-11-24 |
| 1184857534 | Angela Riley, Md, PC | Internal Medicine | 2170 South Lamar Blvd, Oxford, MS 38655 | 2009-09-02 |
| 1568574457 | Angela M Riley | Internal Medicine | 1210 Office Park Dr, Suite 102, Oxford, MS 38655-3606 | 2006-08-31 |
| 1407866650 | Son G Lam | Internal Medicine | 1790 Barron St, Oxford, MS 38655-5705 | 2006-08-09 |
| 1699745133 | Jonathan H Massey | Internal Medicine | 1300 Access Rd, Suite 300, Oxford, MS 38655-5209 | 2006-01-26 |
| 1275503104 | Gregory J Hale | Internal Medicine | 1306 Belk Blvd Ste A, Oxford, MS 38655-5302 | 2006-01-24 |
| 1831482496 | Oxford Dialysis Associates, PC | Internal Medicine | 1300 Access Rd, Suite 300, Oxford, MS 38655-5209 | 2011-05-16 |
| 1811121411 | Gumtree Medical Clinic, Pllc | Internal Medicine | 1306 Belk Blvd Ste A, Oxford, MS 38655-5302 | 2009-05-11 |
| 1083887939 | Jonathan H Massey Md PC | Internal Medicine | 1300 Access Rd, Suite 300, Oxford, MS 38655-5204 | 2008-04-10 |
| 1508952672 | Nephrology Associates of Southwestern Ohio, Inc | Internal Medicine | 110 N Poplar St, Oxford, OH 45056-1204 | 2006-10-05 |
| Find all providers in OXFORD | ||||
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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.