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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
ME94793 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 250792700 | 05 | |
FL | PTAN | AD824Z | 01 |
FL | MEDICARE NUMBER | 40336 | 01 |
Street Address |
61 MEMORIAL MEDICAL PKWY SUITE #3806 |
City | PALM COAST |
State | FL |
Zip Code | 32164-5981 |
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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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 |
Find all providers in zip 32164 |
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 |
---|---|---|---|---|
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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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 | PALM COAST |
Zip Code | 32164 |
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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.