JOHN PANOS (NPI# 1407887128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407887128 |
| Entity Type | Individual |
| Full Name | JOHN PANOS |
| Credential | MD |
| Practice Address |
1905 Clint Moore Rd #212 Boca Raton FL 33496 |
| Mailing Address |
1905 Clint Moore Rd #212 John Panos Md Boca Raton FL 33496 |
| Practice Telephone | 5619899070 |
| Practice Fax Number | 5619890255 |
| Mailing Telephone | 5619899040 |
| Mailing Fax Number | 5619890255 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2010-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
85030 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265762700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144299058 | John N. Panos | Specialist/Technologist | 611 Field Club Rd, Pittsburgh, PA 15238-2406 | 2006-03-14 |
| 1346293412 | John C Panos | Pathology | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-05-18 |
| Street Address |
1905 CLINT MOORE RD #212 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275193708 | Georgia Management Group | Health Maintenance Organization | 9878 Clint Moore Rd Suite 206, Boca Raton, FL 33496 | 2019-06-17 |
| 1326505710 | Capital Ortho LLC | Durable Medical Equipment & Medical Supplies | 6599 Newport Lake Cir, Boca Raton, FL 33496 | 2019-02-21 |
| 1710409636 | Armando Rodriguez | Specialist/Technologist | 9975 Boca Gardens Trail, Unit C, Boca Raton, FL 33496 | 2017-07-12 |
| 1942721782 | Lang Thi Woodmansee | Optometrist | 17940 S Military Trl Ste 400, Boca Raton, FL 33496 | 2017-07-02 |
| 1710325006 | Home Care Assistance of South Florida, LLC | Home Health | 3050 Champion Blvd., Boca Raton, FL 33496 | 2013-06-07 |
| 1568704450 | Gary J Edman | Physician Assistant | 4705 N Federal Highway, Boca Raton, FL 33496 | 2013-03-19 |
| 1396065512 | Holiday Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 6651 N. Military Trail, Suite 100, Boca Raton, FL 33496 | 2010-06-10 |
| 1265765093 | Mark Alan Needle | Internal Medicine | 2231 Nw 58 St, Boca Raton, FL 33496 | 2009-09-11 |
| 1780834036 | Richard Allen Peshkin | General Practice | 5227-a Lake Catalina Dr. N, Boca Raton, FL 33496 | 2008-09-23 |
| 1073712071 | Ehsan Esmaeili | Surgery | 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 | 2007-07-11 |
| Find all providers in zip 33496 | ||||
| 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 |
|---|---|---|---|---|
| 1285282871 | Lighthouse Renal Group Pa | Internal Medicine | 951 Nw 13th St Ste 5b, Boca Raton, FL 33486-2337 | 2019-08-28 |
| 1255876439 | Assif Pllc | Internal Medicine | 3969 Nw 52nd St, Boca Raton, FL 33496-2709 | 2016-12-27 |
| 1265765093 | Mark Alan Needle | Internal Medicine | 2231 Nw 58 St, Boca Raton, FL 33496 | 2009-09-11 |
| 1578556759 | Boca Nephrology Pa | Internal Medicine | 2900 N Military Trl, Ste 195, Boca Raton, FL 33431-6365 | 2005-08-24 |
| 1396143343 | Kidney Care Direct Limited Liability Corporation | Internal Medicine | 1601 Clint Moore Rd, Suite 160, Boca Raton, FL 33487 | 2014-12-08 |
| 1679893234 | Rajesh Agarwala | Internal Medicine | 9980 Central Park Blvd N Ste 210, Boca Raton, FL 33428-1703 | 2010-06-07 |
| 1518120930 | Jose V Castellanos Md Pllc | Internal Medicine | 900 Nw 13th St, Suite 203, Boca Raton, FL 33486-2335 | 2008-07-07 |
| 1114190956 | Peter J Recupero Do Pa | Internal Medicine | 801 Meadows Rd, Suite 120, Boca Raton, FL 33486-2346 | 2008-04-11 |
| 1174554893 | Ira Louis Lazar | Internal Medicine | 1905 Clint Moore Rd, Ste 212, Boca Raton, FL 33496 | 2006-07-05 |
| 1053352583 | Eric Sean Lazar | Internal Medicine | 1905 Clint Moore Rd, Suite 212, Boca Raton, FL 33496-2658 | 2006-06-08 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33496 |
Please comment or provide details below to improve the information on JOHN PANOS.
| 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.