RENEWAL GERIATRIC PRIMARY CARE PA (NPI# 1831661222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831661222 |
| Entity Type | Organization |
| Organization Name | RENEWAL GERIATRIC PRIMARY CARE PA |
| Practice Address |
4915 Rattlesnake Hammock Rd Ste 156 Naples FL 34113-6959 |
| Practice Telephone | 2399702484 |
| Practice Fax Number | 2392288640 |
| Mailing Telephone | 2399702484 |
| Mailing Fax Number | 2392288640 |
| Enumeration Date | 2018-12-22 |
| Last Update Date | 2019-03-20 |
| Authorized Official Name | BARRY WOLF (BILLING MANAGER) |
| Authorized Official Telephone | 2399702484 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
4915 RATTLESNAKE HAMMOCK RD STE 156 |
| City | NAPLES |
| State | FL |
| Zip Code | 34113-6959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225516040 | Arnav Inc | Pharmacy | 11556 Tamiami Trl E, Naples, FL 34113 | 2018-08-02 |
| 1184119810 | Carlos Portu Md Pllc | Internal Medicine | 12250 Tamiami Trl E Ste 208, Naples, FL 34113 | 2018-06-26 |
| 1134612302 | Christopher J Ramke | Dentist | Collier Blvd & Grand Lely Dr, Naples, FL 34113 | 2018-06-12 |
| 1285131680 | Jacqueline Anne Pittman | Social Worker | Monarch Wellness, LLC, 12264 Tamiami Trail East, Suite 202, Naples, FL 34113 | 2018-04-11 |
| 1861916173 | Allison Romeo | Counselor | 5027 Tamiami Trail East, Naples, FL 34113 | 2017-07-28 |
| 1497148365 | Haven Hhc 8 LLC | Home Health | 8795 Tamiami Trail East, Suite 201, Naples, FL 34113 | 2015-03-16 |
| 1861679227 | Nancy J. Goodwin | Emergency Medicine | 12260 Tamiami Trl E Ste 102, Naples, FL 34113 | 2008-01-29 |
| 1639391725 | Eagle Creek Dentistry, Inc. | Dentist | 12692 Tamiami Trail East, Naples, FL 34113 | 2007-05-02 |
| 1821178534 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 12703 E. Tamiami Trail, #121, Naples, FL 34113 | 2006-10-17 |
| 1306935705 | Shawn M Slattery | Optometrist | 12707 Tamiami Trail East, Naples, FL 34113 | 2006-10-12 |
| Find all providers in zip 34113 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1023647708 | Mary Degroot | Internal Medicine | 350 Willet Ave, Naples, FL 34108-2104 | 2020-04-05 |
| 1770042970 | Carla Tricia Williams | Internal Medicine | 311 9th St N Ste 201, Naples, FL 34102-5887 | 2019-03-18 |
| 1972061570 | Suzana Tanimoto | Internal Medicine | 77 8th St S Ste B, Naples, FL 34102-6111 | 2019-03-04 |
| 1184119810 | Carlos Portu Md Pllc | Internal Medicine | 12250 Tamiami Trl E Ste 208, Naples, FL 34113 | 2018-06-26 |
| 1174052625 | Teng Hui | Internal Medicine | 851 5th Ave N Ste 306, Naples, FL 34102-5582 | 2017-06-08 |
| 1013448596 | Daniel Morales | Internal Medicine | 501 Goodlette Frank Rd Ste A100, Naples, FL 34102-5663 | 2017-03-25 |
| 1124414719 | Dr Richard A Saitta Md Pa | Internal Medicine | 3310 Grand Cypress Dr, Unit 202, Naples, FL 34119-7979 | 2015-04-09 |
| 1245628023 | Susan Olevia Cassidy | Internal Medicine | 2750 Gulf Shore Blvd N, 204, Naples, FL 34103-4392 | 2015-01-02 |
| 1588077697 | Mustafa Rikabi | Internal Medicine | 11190 Health Park Blvd, Naples, FL 34110-7404 | 2014-06-05 |
| 1346686185 | Vijay Konda Md Pa | Internal Medicine | 3447 Pine Ridge Rd, Suite 101, Naples, FL 34109-3927 | 2013-05-20 |
| Find all providers in NAPLES | ||||
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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.