CHARLOTTE NEPHROLOGY ASSOCIATES, PA (NPI# 1790002756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790002756 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE NEPHROLOGY ASSOCIATES, PA |
| Practice Address |
15121 Tamiami Trl #a North Port FL 34287-2711 |
| Mailing Address |
3300 Tamiami Trl #101a Port Charlotte FL 33952-8054 |
| Practice Telephone | 9416294676 |
| Practice Fax Number | 9416291522 |
| Mailing Telephone | 9416294676 |
| Mailing Fax Number | 9416291522 |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |
| Authorized Official Name | LALITA D THATTE (PRESIDENT) |
| Authorized Official Telephone | 9416294676 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
60708 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
15121 TAMIAMI TRL #A |
| City | NORTH PORT |
| State | FL |
| Zip Code | 34287-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932146776 | Port Charlotte Hma LLC | Home Health | 15121 Tamiami Trl, North Port, FL 34287-2711 | 2006-06-01 |
| 1982933222 | Port Charlotte Hma LLC | General Acute Care Hospital | 15121 Tamiami Trl, North Port, FL 34287-2711 | 2009-12-16 |
| 1811168529 | Amedisys South Florida, L.L.C. | Home Health | 15121 Tamiami Trl, Suite F, North Port, FL 34287-2711 | 2008-03-20 |
| 1578646527 | Aaron Memon Dmd, Pa | Dentist | 15121 Tamiami Trl, Suite G, North Port, FL 34287-2737 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134619323 | Fresenius Medical Care North Port, LLC | Clinic/Center | 12480 Tamiami Trl S, North Port, FL 34287 | 2018-05-14 |
| 1982106464 | Sweetwater Oaks Assisted Living | Assisted Living Facility | 2820 Pan American Blvd, North Port, FL 34287 | 2018-03-01 |
| 1114446218 | Shore Dental, LLC | Dentist | 4901 White Ibis Drive, North Port, FL 34287 | 2017-09-11 |
| 1245645191 | Timmy Truong | Podiatrist | 12757 S. Tamiami Trail, North Port, FL 34287 | 2014-06-29 |
| 1063833671 | Vitaly Rehab Incorporated | Clinic/Center | 12450 Timiami Trail, Suite-e, North Port, FL 34287 | 2013-12-27 |
| 1053744557 | Tiesha Quality Care, LLC. | In Home Supportive Care | 8767 Culebra Ave, North Port, FL 34287 | 2013-08-20 |
| 1811235427 | America's Best Contacts & Eyeglasses | Technician/Technologist | 18467 South Tamiami Trail, North Port, FL 34287 | 2013-01-17 |
| 1043557929 | Joseph E Lacombe | Pharmacist | 1291 S. Sumter Blvd, North Port, FL 34287 | 2013-01-11 |
| 1568621837 | Daniel M Barr Dc | Chiropractor | 4361 Aidan Ln, North Port, FL 34287 | 2008-06-03 |
| 1174712541 | Michael Dwayne Hibbs | Nurse Practitioner | 18659 Tamiami Trail, Suite A, North Port, FL 34287 | 2007-10-22 |
| Find all providers in zip 34287 | ||||
| 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. |
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| 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 | NORTH PORT |
| Zip Code | 34287 |
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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.