DR. ADEY A A HASAN (NPI# 1043516511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043516511 |
| Entity Type | Individual |
| Full Name | DR. ADEY A A HASAN |
| Credential | MD |
| Practice Address |
204 Southpark Cir E St Augustine FL 32086-5135 |
| Mailing Address |
Po Box 1779 St Augustine FL 32085-1779 |
| Practice Telephone | 9048298300 |
| Practice Fax Number | 9048298310 |
| Mailing Telephone | 9048298300 |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME122715 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
ME122715 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 199 S Us Highway 17 Ste C, East Palatka, FL 321316071 | 3863120556 | |
| 264 Palm Coast Pkwy Ne, Palm Coast, FL 321378217 | 3864461940 |
| Street Address |
204 SOUTHPARK CIR E |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-5135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215032446 | Carlos Torres-rivera | Internal Medicine | 204 Southpark Cir E, St Augustine, FL 32086-5135 | 2006-09-13 |
| 1265600365 | Maryam Qadir | Internal Medicine | 204 Southpark Cir E, St Augustine, FL 32086-5135 | 2008-02-12 |
| 1386749505 | Amir A Malik | Internal Medicine | 204 Southpark Cir E, St Augustine, FL 32086-5135 | 2006-09-13 |
| 1992800106 | Amir A Malik Md Pa | Internal Medicine | 204 Southpark Cir E, St Augustine, FL 32086-5135 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| 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 |
|---|---|---|---|---|
| 1215032446 | Carlos Torres-rivera | Internal Medicine | 204 Southpark Cir E, St Augustine, FL 32086-5135 | 2006-09-13 |
| 1417953076 | Paul David Jayachandra | Internal Medicine | 1680 Osceola Elementary Rd, Ste A, St Augustine, FL 32084-0968 | 2005-06-28 |
| 1528062007 | Richard A Caputo | Internal Medicine | 301 Health Park Blvd, Ste 214, St Augustine, FL 32086-5795 | 2005-06-13 |
| 1134514573 | Scott D Mcdowall Pllc | Internal Medicine | 100 Whetstone Pl, Suite 206, St Augustine, FL 32086-5774 | 2015-04-02 |
| 1134465685 | H & Z Renal Care LLC | Internal Medicine | 52 Tuscan Way, Suite 202 #350, St Augustine, FL 32092-1850 | 2013-01-02 |
| 1982829982 | Scott D Mcdowall | Internal Medicine | 100 Whetstone Pl, Suite 206, St Augustine, FL 32086-5774 | 2007-04-16 |
| 1992800106 | Amir A Malik Md Pa | Internal Medicine | 204 Southpark Cir E, St Augustine, FL 32086-5135 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896281 | Meraki Medical Center LLC | Internal Medicine | 12565 Orange Dr Ste 401, Davie, FL 33330-4305 | 2020-09-21 |
| 1972117109 | Mogilishetty Pllc | Internal Medicine | 10012 Gulf Center Dr Ste 5292, Fort Myers, FL 33913-8904 | 2020-09-04 |
| 1033732797 | Nephron Care & Dialysis LLC | Internal Medicine | Health Central Hospital, 10000 West Colonial Drive, Ocoee, FL 34761 | 2020-05-28 |
| 1245853746 | Ronald M. Goldin, M.d.,p.a. | Internal Medicine | 4215 Burns Rd Ste 240, Palm Beach Gardens, FL 33410-4625 | 2020-05-19 |
| 1447879739 | F Duncan Scott Md Pa | Internal Medicine | 4516 E Highway 20 # 108, Niceville, FL 32578-9755 | 2020-04-16 |
| 1245879055 | Atza Swicht Transportation Corp | Internal Medicine | 1309 Santa Rosa Dr Apt 202, Kissimmee, FL 34741-7572 | 2019-12-26 |
| 1427699859 | Nephro Care Solutions, LLC | Internal Medicine | 1401 Sw 107th Ave Ste 301m, Miami, FL 33174-2553 | 2019-10-07 |
| 1285282871 | Lighthouse Renal Group Pa | Internal Medicine | 951 Nw 13th St Ste 5b, Boca Raton, FL 33486-2337 | 2019-08-28 |
| 1427617265 | Sunstate Kidney & Hypertension LLC | Internal Medicine | 9907 Warm Stone St, Thonotosassa, FL 33592-3350 | 2019-06-06 |
| 1205490091 | Central Florida Nephrology Pllc | Internal Medicine | 7350 Futures Dr Ste 1, Orlando, FL 32819-9082 | 2019-04-26 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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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.