DR. INGRID KISHA NIDRA CALLISTE (NPI# 1083920383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083920383 |
| Entity Type | Individual |
| Full Name | DR. INGRID KISHA NIDRA CALLISTE |
| Credential | M.D |
| Practice Address |
511 Medical Plaza Dr Ste 101 Leesburg FL 34748-7328 |
| Practice Telephone | 3527286808 |
| Mailing Telephone | 3527286808 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
ME135623 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 260 1st St, B15, Mineola, NY 115012359 | 5167463714 |
| Street Address |
511 MEDICAL PLAZA DR STE 101 |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-7328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279431 | Henry C Veldenz | Surgery | 511 Medical Plaza Dr Ste 101, Leesburg, FL 34748-7328 | 2005-07-14 |
| 1487188637 | Justin P Morgan | Family Medicine | 511 Medical Plaza Dr Ste 101, Leesburg, FL 34748-7328 | 2017-04-14 |
| 1447702717 | Kari Beth Riley | Nurse Practitioner | 511 Medical Plaza Dr Ste 101, Leesburg, FL 34748-7328 | 2016-11-02 |
| 1679912299 | Jeremy E Creech | Nurse Practitioner | 511 Medical Plaza Dr Ste 101, Leesburg, FL 34748-7328 | 2013-06-17 |
| 1962848382 | Robert B Gibson | Internal Medicine | 511 Medical Plaza Dr Ste 101, Leesburg, FL 34748-7328 | 2013-05-13 |
| 1265742332 | Melinda Kim Doyle | Nurse Practitioner | 511 Medical Plaza Dr Ste 101, Leesburg, FL 34748-7328 | 2010-10-07 |
| 1386962140 | Tara Leigh Brannen | Nurse Practitioner | 511 Medical Plaza Dr Ste 101, Leesburg, FL 34748-7328 | 2010-05-04 |
| 1750515292 | Michael Ruisi | Internal Medicine | 511 Medical Plaza Dr Ste 101, Leesburg, FL 34748-7328 | 2009-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| 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 |
|---|---|---|---|---|
| 1558535591 | Quintina B. Corteza Md Pa | Internal Medicine | 401 E. North Blvd, Suite 102a, Leesburg, FL 34748 | 2008-04-22 |
| 1013181650 | Gerardo J Rodriguez M D P A | Internal Medicine | 611 W Dixie Ave, Leesburg, FL 34748-2602 | 2008-04-15 |
| 1164906871 | Quality Physician Group Pllc | Internal Medicine | 33049 Professional Dr Ste 103, Leesburg, FL 34788-3705 | 2018-09-18 |
| 1174879944 | Loudoun Medical Group PC | Internal Medicine | 19415 Deerfield Ave, Suite 107, Leesburg, VA 20176-8452 | 2012-07-31 |
| 1083825251 | Maria Theresa Silvano De Jesus | Internal Medicine | 401 E North Blvd, Suite 102a, Leesburg, FL 34748-5262 | 2007-05-26 |
| 1255348876 | Quintina B Corteza | Internal Medicine | 401 E North Blvd, Ste 102a, Leesburg, FL 34748 | 2006-08-03 |
| 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 | ||||
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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.