INTERNAL MEDICINE & KIDNEY ASSOCIATES, PA (NPI# 1336382860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336382860 |
Entity Type | Organization |
Organization Name | INTERNAL MEDICINE & KIDNEY ASSOCIATES, PA |
Practice Address |
1111 12th Street Suite 203 Key West FL 33040-4088 |
Mailing Address |
1111 12th St Ste 203 Key West FL 33040-3000 |
Practice Telephone | 3052935015 |
Practice Fax Number | 3052935016 |
Mailing Telephone | 3052935015 |
Mailing Fax Number | 3052935016 |
Enumeration Date | 2009-04-14 |
Last Update Date | 2011-06-14 |
Authorized Official Name | DR. TAWEH DARDWAH BEYSOLOW (OWNER/PHYSICIAN) |
Authorized Official Telephone | 3052935015 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
ME 103891 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | MEDICAL LICENSE | ME103891 | 01 |
Street Address |
1111 12TH STREET SUITE 203 |
City | KEY WEST |
State | FL |
Zip Code | 33040-4088 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
1811461262 | Housing Authority of The Key West | Assisted Living Facility | 1664 Dunlap Drive, Key West, FL 33040 | 2019-01-18 |
1154833077 | Katrina Karr Pfander | Speech-Language Pathologist | 24 Jade Dr., Unit 6, Key West, FL 33040 | 2017-11-01 |
1356866529 | Kelli Stolar | Case Manager/Care Coordinator | 1205 Fourth Street, Key West, FL 33040 | 2017-08-09 |
1861931065 | Kathy Snyder | Case Manager/Care Coordinator | 1205 Fourth St, Key West, FL 33040 | 2017-02-21 |
1649722984 | Schanae Cunningham | Social Worker | 1502 Salmon Court, Key West, FL 33040 | 2016-11-03 |
1700286127 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 5610 Overseas Highway, Stock Island, FL 33040 | 2014-09-04 |
1255747945 | Paul A Tate Jr. | Emergency Medicine | Naval Branch Health Clinic Key West, 1300 Douglas Cir, Key West, FL 33040 | 2014-07-02 |
1851644629 | Erin Sheehan | Registered Nurse | 1200 Kennedy Dr Fl 2, Key West, FL 33040 | 2012-10-18 |
1861743197 | Sarah Miranda Cox | Social Worker | 1217 White St Ste 201, Key West, FL 33040 | 2012-09-26 |
Find all providers in zip 33040 |
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 |
---|---|---|---|---|
1174573059 | James Jerome Mahoney Jr. | Internal Medicine | 1350 Douglas Cir, % Bma Dialysis 1122 Keys Plaza, Key West, FL 33040-4536 | 2006-05-11 |
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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 |
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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.