KAPIL PURI MD P A (NPI# 1962672337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962672337 |
| Entity Type | Organization |
| Organization Name | KAPIL PURI MD P A |
| Practice Address |
1001 College Blvd W Ste H Niceville FL 32578-1099 |
| Mailing Address |
Po Box 524 Niceville FL 32588-0524 |
| Practice Telephone | 8502794600 |
| Practice Fax Number | 8502794566 |
| Mailing Telephone | 8502794500 |
| Mailing Fax Number | 8502794566 |
| Enumeration Date | 2008-03-02 |
| Last Update Date | 2008-08-21 |
| Authorized Official Name | DR. KAPIL PURI (PRESIDENT) |
| Authorized Official Telephone | 8502794600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME91106 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 270922800 | 05 | |
| FL | MEDICARE ID-TYPE UNSPECIFIED | AK816 | 01 |
| Street Address |
1001 COLLEGE BLVD W STE H |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982696589 | Tracey R Burton Lindner Md Pa Dba | Pediatrics | 1001 College Blvd W, Suite C, Niceville, FL 32578-1099 | 2005-08-19 |
| 1679933907 | Julie Morton | Nurse Practitioner | 1001 College Blvd W, Suite H, Niceville, FL 32578-1099 | 2016-02-29 |
| 1174945760 | Helen Rhawn Tidwell | Registered Nurse | 1001 College Blvd W, Niceville, FL 32578-1099 | 2014-01-15 |
| 1114286879 | Michael Adam Weisbruch | Internal Medicine | 1001 College Blvd W, Niceville, FL 32578-1099 | 2012-05-15 |
| 1841592094 | Earcare Assocs., LLC Dba Twin Cities Hearing Center | Hearing Instrument Specialist | 1001 College Blvd W, Bldg. 2, Suite 'i', Niceville, FL 32578-1099 | 2010-11-20 |
| 1316017775 | Niceville General Surgery LLC | Surgery | 1001 College Blvd W, Suite B-1, Niceville, FL 32578-1099 | 2006-11-09 |
| 1649357559 | Niceville Family Practice LLC | Family Medicine | 1001 College Blvd W, Suite H, Niceville, FL 32578-1099 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| 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 |
|---|---|---|---|---|
| 1962494211 | Kapil Puri | Urology | 4554 E Highway 20, Niceville, FL 32578-9755 | 2005-08-22 |
| 1992740229 | Bluewater Bay Urology LLC | Urology | 4566 E Highway 20, Suite 102, Niceville, FL 32578-8838 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
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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.