INTERNAL MEDICINE & KIDNEY ASSOCIATES, PA


Address: 1111 12th Street Suite 203, Key West, FL 33040-4088
Phone: 3052935015

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
ME 103891 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICAL LICENSE ME103891 01

Office Location

Street Address 1111 12TH STREET SUITE 203
City KEY WEST
State FL
Zip Code 33040-4088

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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
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1851644629 Erin Sheehan Registered Nurse 1200 Kennedy Dr Fl 2, Key West, FL 33040 2012-10-18
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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NPI Name Taxonomy Address Enumeration
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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
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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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Competitor

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City KEY WEST
Zip Code 33040

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Dataset Information

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.

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