KENNETH R FISCELLA (NPI# 1235122631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235122631 |
Entity Type | Individual |
Full Name | KENNETH R FISCELLA |
Credential | MD |
Practice Address |
1410 59th St W Bradenton FL 34209-4607 |
Practice Telephone | 9417921477 |
Practice Fax Number | 9417948017 |
Mailing Fax Number | 9417948017 |
Enumeration Date | 2005-08-31 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | ME0015053 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | AETNA | 5355285 | 01 |
Street Address |
1410 59TH ST W |
City | BRADENTON |
State | FL |
Zip Code | 34209-4607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013291913 | 21st Century Oncology LLC | Urology | 1410 59th St W, Bradenton, FL 34209-4607 | 2011-10-11 |
1114912532 | Charles T Polis Jr. | Urology | 1410 59th St W, Bradenton, FL 34209-4607 | 2005-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
Find all providers in zip 34209 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386121770 | Florida Medical Specialists, LLC | Urology | 2302 60th Street Ct. W., Bradenton, FL 34209-0000 | 2018-07-27 |
1992071252 | Ricardo Dario Gonzalez | Urology | 200 3rd Ave W Ste 210, Bradenton, FL 34205-8633 | 2012-03-30 |
1649379371 | John S Gatewood | Urology | 316 53rd Ave E, Bradenton, FL 34203-4706 | 2006-09-21 |
1114930401 | Urology Partners Pa | Urology | 200 3rd Ave West, Suite 200, Bradenton, FL 34205 | 2006-08-15 |
1629009089 | George Bino Rucker | Urology | 6124 53rd Ave E, Bradenton, FL 34203-9707 | 2006-07-05 |
1316912132 | Charles T Polis Jr Md Pa | Urology | 1410 59th Street W, Bradenton, FL 34209 | 2006-02-23 |
1518950187 | Edward Herrman | Urology | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2005-08-29 |
1326535873 | Uphealth LLC | Urology | 200 3rd Ave W Ste 210, Bradenton, FL 34205-8633 | 2018-04-20 |
1780957696 | Genesiscare Usa of Florida LLC | Urology | 200 3rd Ave W, Suite 210, Bradenton, FL 34205-8626 | 2012-02-23 |
1013291913 | 21st Century Oncology LLC | Urology | 1410 59th St W, Bradenton, FL 34209-4607 | 2011-10-11 |
Find all providers in BRADENTON |
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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.