KENNETH R FISCELLA


Address: 1410 59th St W, Bradenton, FL 34209-4607
Phone: 9417921477

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology ME0015053 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL AETNA 5355285 01

Office Location

Street Address 1410 59TH ST W
City BRADENTON
State FL
Zip Code 34209-4607

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City BRADENTON
Zip Code 34209

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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.

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