KENNETH S REISS (NPI# 1558487496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558487496 |
| Entity Type | Individual |
| Full Name | KENNETH S REISS |
| Credential | D.O. |
| Practice Address |
2525 Harbor Blvd Suite 104 Port Charlotte FL 33952-5317 |
| Mailing Address |
3434 Hancock Bridge Pkwy Ste 301 North Fort Myers FL 33903-7099 |
| Practice Telephone | 9416295757 |
| Mailing Telephone | 8778563774 |
| Mailing Fax Number | 2395992612 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2017-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS9295 | FL | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
OS9295 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
2525 HARBOR BLVD SUITE 104 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275526097 | Alejandro Callejas | Surgery | 2525 Harbor Blvd, 203, Port Charlotte, FL 33952-5317 | 2005-08-26 |
| 1437697646 | Jens Christian Carlsen Do Pllc | Urology | 2525 Harbor Blvd, Ste. 301, Port Charlotte, FL 33952-5317 | 2017-02-08 |
| 1699160093 | Christopher Contance Md | Plastic Surgery | 2525 Harbor Blvd, 310, Port Charlotte, FL 33952-5317 | 2015-04-02 |
| 1942691951 | Childrens Quality Care LLC | Pediatrics | 2525 Harbor Blvd, Ste 204, Port Charlotte, FL 33952-5317 | 2015-02-12 |
| 1568870806 | Sara Logan | Nurse Practitioner | 2525 Harbor Blvd, Suite 104, Port Charlotte, FL 33952-5317 | 2014-07-31 |
| 1598170177 | Michelle Fede | Nurse Practitioner | 2525 Harbor Blvd, Suite 102, Port Charlotte, FL 33952-5317 | 2014-06-23 |
| 1528377827 | Eugene E Gregush Md Pa | Obstetrics & Gynecology | 2525 Harbor Blvd, Ste 201a, Port Charlotte, FL 33952-5338 | 2010-10-04 |
| 1346567674 | Karen Rudolph | Nurse Practitioner | 2525 Harbor Blvd, Suite 202, Port Charlotte, FL 33952-5317 | 2010-04-27 |
| 1104154053 | Bennett W Mcallister Md Pa | Psychiatry & Neurology | 2525 Harbor Blvd, Suite 312, Port Charlotte, FL 33952-5317 | 2009-12-03 |
| 1043449960 | Michael James Lawson | Massage Therapist | 2525 Harbor Blvd, Suite 102, Port Charlotte, FL 33952-5317 | 2009-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316344856 | Roger Anthony Dreyling | Family Medicine | 2511 Pebble Creek Pl, Port Charlotte, FL 33948-1684 | 2014-11-27 |
| 1346669025 | Gerdie Jean-smith | Family Medicine | 3450 Rowland Dr, Port Charlotte, FL 33980-2284 | 2014-04-10 |
| 1801230248 | Hassan Albassam | Family Medicine | 1777 Tamiami Trail, Suite 303, Office 11, Port Charlotte, FL 33948-3394 | 2013-04-27 |
| 1821358607 | Story Family Medicine | Family Medicine | 17912 Toledo Blade Blvd, Ste A, Port Charlotte, FL 33948-1042 | 2012-05-25 |
| 1003124322 | Carlton R. Vollberg M D P A | Family Medicine | 2852 Tamiami Trl Ste 6, Port Charlotte, FL 33952-5100 | 2010-09-21 |
| 1689985541 | Elizabeth A Triana Md Pa | Family Medicine | 3155 Harbor Blvd, Ste. 100, Port Charlotte, FL 33952-6750 | 2010-06-25 |
| 1548466519 | Joseph Ravid | Family Medicine | 21942 Edgewater Dr, Port Charlotte, FL 33952-9723 | 2007-06-26 |
| 1952514283 | Pascal P Bordy | Family Medicine | 530 Tamiami Trl, Port Charlotte, FL 33953-2125 | 2007-05-07 |
| 1801977129 | Stephanie J Shell | Family Medicine | 21300 Gertrude Ave, Suite 1, Port Charlotte, FL 33952-5018 | 2006-10-17 |
| 1811929466 | Elizabeth Alice Triana | Family Medicine | 3155 Harbor Blvd Ste 100, Port Charlotte, FL 33952-6729 | 2006-07-06 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
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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.