LIGHTHOUSE RENAL GROUP PA (NPI# 1285282871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285282871 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE RENAL GROUP PA |
| Practice Address |
951 Nw 13th St Ste 5b Boca Raton FL 33486-2337 |
| Mailing Address |
2104 Huntleigh Pt Orlando FL 32835-5938 |
| Practice Telephone | 7862861084 |
| Mailing Telephone | 7862861084 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | ANGEL RAMOS (PRESIDENT) |
| Authorized Official Telephone | 7862861084 |
| 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 |
951 NW 13TH ST STE 5B |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33486-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502800 | Med Supplies Rus LLC | Durable Medical Equipment & Medical Supplies | Med Supplies R Us, LLC, 1489 Pal Metto Park Rd., Suite 509 E, Boca Raton, FL 33486 | 2020-09-15 |
| 1235699547 | Ron N/a Goldwaser | Occupational Therapist | Boca Raton Rehabilitation Center, 755 Meadows Road, Boca Raton, FL 33486 | 2019-03-22 |
| 1982105516 | Noa Rivka Schwartz | Registered Nurse | 801 Meadows Rd Ste 120, Boca Raton, FL 33486 | 2018-02-28 |
| 1437663028 | Jasmine Fay Senatus | Physician Assistant | 5333 Town Center Road, Suite 402, Boca Raton, FL 33486 | 2017-11-19 |
| 1285160440 | Mary Lauderdale | Developmental Therapist | 836 Sw 9th St Circle, Boca Raton, FL 33486 | 2017-05-10 |
| 1932631827 | Boca Ri LLC | Psychiatric Residential Treatment Facility | 1000 Nw 15th St, Boca Raton, FL 33486 | 2017-03-30 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1528504354 | Megan M Lucas | Physician Assistant | 5458 Town Center Rd Ste 103, Boca Raton, FL 33486 | 2017-01-18 |
| 1962864280 | Annmarie Diazhernandez | Nurse Practitioner | 951 Nw 13 St Bl 5e, Boca Raton, FL 33486 | 2016-03-25 |
| 1689071078 | Djurdja Andrich | Nurse Practitioner | 1500 Nw 10th Ave #205, Boca Raton, FL 33486 | 2014-12-01 |
| Find all providers in zip 33486 | ||||
| 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 |
|---|---|---|---|---|
| 1255876439 | Assif Pllc | Internal Medicine | 3969 Nw 52nd St, Boca Raton, FL 33496-2709 | 2016-12-27 |
| 1265765093 | Mark Alan Needle | Internal Medicine | 2231 Nw 58 St, Boca Raton, FL 33496 | 2009-09-11 |
| 1407887128 | John Panos | Internal Medicine | 1905 Clint Moore Rd #212, Boca Raton, FL 33496 | 2006-07-05 |
| 1578556759 | Boca Nephrology Pa | Internal Medicine | 2900 N Military Trl, Ste 195, Boca Raton, FL 33431-6365 | 2005-08-24 |
| 1396143343 | Kidney Care Direct Limited Liability Corporation | Internal Medicine | 1601 Clint Moore Rd, Suite 160, Boca Raton, FL 33487 | 2014-12-08 |
| 1679893234 | Rajesh Agarwala | Internal Medicine | 9980 Central Park Blvd N Ste 210, Boca Raton, FL 33428-1703 | 2010-06-07 |
| 1518120930 | Jose V Castellanos Md Pllc | Internal Medicine | 900 Nw 13th St, Suite 203, Boca Raton, FL 33486-2335 | 2008-07-07 |
| 1114190956 | Peter J Recupero Do Pa | Internal Medicine | 801 Meadows Rd, Suite 120, Boca Raton, FL 33486-2346 | 2008-04-11 |
| 1174554893 | Ira Louis Lazar | Internal Medicine | 1905 Clint Moore Rd, Ste 212, Boca Raton, FL 33496 | 2006-07-05 |
| 1053352583 | Eric Sean Lazar | Internal Medicine | 1905 Clint Moore Rd, Suite 212, Boca Raton, FL 33496-2658 | 2006-06-08 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33486 |
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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.