KIDNEY CARE DIRECT LIMITED LIABILITY CORPORATION (NPI# 1396143343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396143343 |
Entity Type | Organization |
Organization Name | KIDNEY CARE DIRECT LIMITED LIABILITY CORPORATION |
Practice Address |
1601 Clint Moore Rd Suite 160 Boca Raton FL 33487 |
Mailing Address |
424 E Central Blvd Ste 721 Orlando FL 32801-1923 |
Practice Telephone | 7326546523 |
Mailing Telephone | 4079065231 |
Enumeration Date | 2014-12-08 |
Last Update Date | 2020-06-11 |
Authorized Official Name | AMAY PARIKH (PRESIDENT) |
Authorized Official Telephone | 6178214215 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
ME121982 | FL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
13295 Illinois St Ste 210, Carmel, IN 460323021 | 4079065231 | |
16545 Southwest Fwy Ste 275, Sugar Land, TX 774793601 | 4079065231 | 8779919077 |
3619 Park East Dr Ste 110, Beachwood, OH 441224312 | 4079065231 | |
4714 16th Ave Fl 4, Brooklyn, NY 112041197 | 4079065231 | |
495 Thomas Jones Way Ste 300, Exton, PA 193412553 | 4079065231 |
Street Address |
1601 CLINT MOORE RD SUITE 160 |
City | BOCA RATON |
State | FL |
Zip Code | 33487 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275538944 | Jeremy S Breit | Internal Medicine | 1601 Clint Moore Rd, Suite 100, Boca Raton, FL 33487-2768 | 2005-06-17 |
1952876070 | Leslie Aston Wattkis | Nurse Practitioner | 1601 Clint Moore Rd, Boca Raton, FL 33487-2768 | 2018-10-04 |
1124578331 | Gabriel Johnson | Physician Assistant | 1601 Clint Moore Rd, Suite 155, Boca Raton, FL 33487-2768 | 2016-10-12 |
1912456963 | Internal Medicine Associates Snf LLC | Internal Medicine | 1601 Clint Moore Rd, Suite 200-2, Boca Raton, FL 33487-2768 | 2016-09-30 |
1710336797 | Docs On Call LLC | Internal Medicine | 1601 Clint Moore Rd, Suite 115 B, Boca Raton, FL 33487-2768 | 2016-06-09 |
1891156857 | Ashley Bowles | Podiatrist | 1601 Clint Moore Rd, Suite 130, Boca Raton, FL 33487-2768 | 2016-03-17 |
1912378829 | Gila R Weinstein Md LLC | Plastic Surgery | 1601 Clint Moore Rd, Suite 145, Boca Raton, FL 33487-2768 | 2015-10-19 |
1932578879 | 21st Century Oncology LLC | Pathology | 1601 Clint Moore Rd, Suite 180, Boca Raton, FL 33487-2768 | 2015-09-22 |
1770951055 | 21st Century Oncology LLC | Urology | 1601 Clint Moore Rd, Suite 195, Boca Raton, FL 33487-2768 | 2015-09-03 |
1962886408 | Lindsey Martin | Audiologist | 1601 Clint Moore Rd, Suite 105, Boca Raton, FL 33487-2768 | 2015-07-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386261741 | Kendall Hackenberg | Nurse Practitioner | 810 Nw 82nd Pl, Boca Raton, FL 33487 | 2020-07-01 |
1275187015 | Trusted Home Care Agency | Home Health | 1200 S. Rogers Circle, Suite #4, Boca Raton, FL 33487 | 2019-07-30 |
1972064475 | West Palm Beac Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 902 Clint Moore Road, Ste 144, Boca Raton, FL 33487 | 2019-03-27 |
1386153807 | Michael Christopher Angelillo | Internal Medicine | 1601 Clint Moore Rd Ste 115, Boca Raton, FL 33487 | 2017-09-27 |
1942729645 | Ronald Falk | Chiropractor | 6201 N Federal Hwy #5-6, Boca Raton, FL 33487 | 2017-09-13 |
1205292653 | Abigail Goodwin Sladek | Nurse Practitioner | 902 Clint Moore Rd # 227, Boca Raton, FL 33487 | 2016-01-14 |
1538539879 | Nancy Gonzalez | Dental Hygienist | 904 Clint Moore Rd, Boca Raton, FL 33487 | 2015-09-29 |
1083090138 | John Hooper Griscom | Internal Medicine | 3752 Mykonos Court, Boca Raton, FL 33487 | 2015-07-30 |
1144600321 | Hear Again LLC | Audiologist-Hearing Aid Fitter | 851 Broken Sound Pkwy Nw Ste 120, Boca Raton, FL 33487 | 2015-06-03 |
1457759193 | Element Lab Partners, LLC | Clinical Medical Laboratory | 1101 Holland Dr., Ste. 30, Boca Raton, FL 33487 | 2014-12-11 |
Find all providers in zip 33487 |
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 |
---|---|---|---|---|
1285282871 | Lighthouse Renal Group Pa | Internal Medicine | 951 Nw 13th St Ste 5b, Boca Raton, FL 33486-2337 | 2019-08-28 |
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 |
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 | 33487 |
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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.