THE KIDNEY GROUP OF CLEARWATER, LLC (NPI# 1588689152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588689152 |
| Entity Type | Organization |
| Organization Name | THE KIDNEY GROUP OF CLEARWATER, LLC |
| Practice Address |
617 Lakeview Rd Suite B Clearwater FL 33756-3338 |
| Mailing Address |
1964 Bayshore Blvd Suite C Dunedin FL 34698-2576 |
| Practice Telephone | 7274418590 |
| Practice Fax Number | 7274418805 |
| Mailing Telephone | 7277332040 |
| Mailing Fax Number | 7277330431 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-11-30 |
| Authorized Official Name | JUNE A CLARK (VICE PRESIDENT) |
| Authorized Official Telephone | 7277332040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
FL | Ambulatory Health Care Facilities |
| Street Address |
617 LAKEVIEW RD SUITE B |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427073097 | Kidney Institute of Clearwater, LLC | Clinic/Center | 617 Lakeview Rd, Suite C, Clearwater, FL 33756-3338 | 2006-07-13 |
| 1962728006 | Bio-medical Applications of Florida Inc | Clinic/Center | 617 Lakeview Rd, Suite B, Clearwater, FL 33756-3338 | 2010-04-14 |
| 1174849319 | Bio-medical Applications of Florida Inc | Clinic/Center | 617 Lakeview Rd, Suite C, Clearwater, FL 33756-3338 | 2010-04-13 |
| 1003837337 | Nephrology Consultants of Pinellas LLC | Specialist | 617 Lakeview Rd, Suite C, Clearwater, FL 33756-3338 | 2006-07-22 |
| 1962421081 | Michael W Ham | Specialist | 617 Lakeview Rd, Suite C, Clearwater, FL 33756-3338 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568574309 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 26338 Us Highway 19 N, Clearwater, FL 33761-4500 | 2006-08-31 |
| 1932118932 | Rai Care Centers of Florida I, LLC | Clinic/Center | 29296 Us Highway 19 N, Ste 1, Clearwater, FL 33761-2190 | 2006-08-07 |
| 1437168440 | Rai Care Centers of Florida I, LLC | Clinic/Center | 1057 S Fort Harrison Ave, Clearwater, FL 33756-3905 | 2006-08-07 |
| 1427073097 | Kidney Institute of Clearwater, LLC | Clinic/Center | 617 Lakeview Rd, Suite C, Clearwater, FL 33756-3338 | 2006-07-13 |
| 1962728006 | Bio-medical Applications of Florida Inc | Clinic/Center | 617 Lakeview Rd, Suite B, Clearwater, FL 33756-3338 | 2010-04-14 |
| 1174849319 | Bio-medical Applications of Florida Inc | Clinic/Center | 617 Lakeview Rd, Suite C, Clearwater, FL 33756-3338 | 2010-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496104 | Kidney Care Center of Winter Haven LLC | Clinic/Center | 1107 3rd St Sw Ste 9, Winter Haven, FL 33880-3912 | 2020-10-27 |
| 1538773411 | 5072020, LLC | Clinic/Center | 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 | 2020-09-08 |
| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
| 1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
| 1427668870 | Dialysis Spa, LLC | Clinic/Center | 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 | 2020-07-31 |
| 1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
| 1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
| 1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on THE KIDNEY GROUP OF CLEARWATER, LLC.
| 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.