ATLANTIC NEPHROLOGY INC


Address: 61 Memorial Medical Pkwy, Suite #3806, Palm Coast, FL 32164-5981
Phone: 3864377340

ATLANTIC NEPHROLOGY INC (NPI# 1376704155) 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) 1376704155
Entity Type Organization
Organization Name ATLANTIC NEPHROLOGY INC
Practice Address 61 Memorial Medical Pkwy
Suite #3806
Palm Coast
FL 32164-5981
Practice Telephone 3864377340
Mailing Telephone 3864377340
Enumeration Date 2008-06-24
Last Update Date 2013-03-04
Authorized Official Name DR. WILLIAM BONLORE FERGUSON (PRESIDENT/OWNER)
Authorized Official Telephone 3868713767
Authorized Official Credential MD, PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
ME94793 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 250792700 05
FL PTAN AD824Z 01
FL MEDICARE NUMBER 40336 01

Office Location

Street Address 61 MEMORIAL MEDICAL PKWY
SUITE #3806
City PALM COAST
State FL
Zip Code 32164-5981

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487658472 Thomas A Joiner Specialist 61 Memorial Medical Pkwy, Suite 2811, Palm Coast, FL 32164-5981 2005-06-08
1902447394 Kayla Chesser-murray Nurse Practitioner 61 Memorial Medical Pkwy, Palm Coast, FL 32164-5981 2019-10-07
1528412624 Stacey Sproull Nurse Practitioner 61 Memorial Medical Pkwy, Suite 2812, Palm Coast, FL 32164-5981 2016-04-15
1033529870 Richard Cashio Md Plastic Surgery P.l. Plastic Surgery 61 Memorial Medical Pkwy, Suite 2802, Palm Coast, FL 32164-5981 2014-05-01
1154766780 Florida Cancer Specialists P L Internal Medicine 61 Memorial Medical Pkwy, Suite 3804, Palm Coast, FL 32164-5981 2013-05-09
1245675875 Florida Cancer Specialists & Research Institute, LLC Internal Medicine 61 Memorial Medical Pkwy, Suite 2818, Palm Coast, FL 32164-5981 2013-05-09
1972948784 Florida Cancer Specialists & Research Institute, LLC Internal Medicine 61 Memorial Medical Pkwy, Suite 2812, Palm Coast, FL 32164-5981 2013-05-07
1629366687 Teresa Marie Ayres Physician Assistant 61 Memorial Medical Pkwy, Suite 2811, Palm Coast, FL 32164-5981 2011-07-12
1477714269 Becki D Melton Internal Medicine 61 Memorial Medical Pkwy, Suite 3806, Palm Coast, FL 32164-5981 2008-06-24
1932373479 Amit Nanavati Internal Medicine 61 Memorial Medical Pkwy, Suite 1-800b, Palm Coast, FL 32164-5981 2008-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417561044 Ereka Manangan Pharmacist 5000 E, Fl-100, Palm Coast, FL 32164 2020-09-01
1427661735 George Allen Parker Pharmacist 5000 E Hwy 100, Palm Coast, FL 32164 2020-08-26
1891318424 Faithangel Corp In Home Supportive Care 125 Pine Grove Dr, Palm Coast, FL 32164 2020-05-18
1578101481 Sweetie Peetie LLC Hearing Instrument Specialist 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 2019-12-11
1831656610 Dolphin Medical Transport LLC Taxi 30 Westmoreland Dr, Palm Coast, FL 32164 2019-02-27
1003389024 Southeast Snoring & Sleep Apnea Group Durable Medical Equipment & Medical Supplies 108 Pennacles Dr. #101, Palm Coast, FL 32164 2019-01-03
1801388137 Lily Michelle King Licensed Practical Nurse 8 Regent Ln, Palm Coast, FL 32164 2018-06-01
1558880120 Bryan Mendes Physical Therapist 1 Westrock Ln, Palm Coast, FL 32164 2017-09-14
1477077451 Sharon Denise Astrologo Case Manager/Care Coordinator 421 S. Keech St., Daytona Beach, FL 32164 2017-08-01
1952825283 Emily Guarino Behavior Technician 136a Wellwood Lane, Palm Coast, FL 32164 2017-07-28
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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
1154318046 Jaideep Hoskote Internal Medicine 120 Cypress Edge Dr Ste 208, Palm Coast, FL 32164-8454 2005-10-05
1922260470 Amir A Malik Md Pa Internal Medicine 264 Palm Coast Pkwy Ne, Palm Coast, FL 32137-8217 2008-06-26
1003842071 William Bonlore Ferguson Internal Medicine 61 Memorial Medical Pkwy, Suite 3806, Palm Coast, FL 32164-5981 2006-06-23

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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
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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Competitor

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City PALM COAST
Zip Code 32164

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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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