Andrea B Olds (NPI# 1306078456, PAC ID# 2365577095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1306078456 |
| PAC ID by PECOS | 2365577095 |
| Professional Enrollment ID | I20100318000986 |
| Full Name | Andrea B Olds |
| Organization Legal Name | KIANOOSH KAVEH DO PA |
| Address |
3221 Tamiami Trl Port Charlotte FL 33952-8002 |
| Phone Number | 9415058720 |
| Gender | F |
| Graduation Year | 1978 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 4284685223 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14181 S Tamiami Trail, Suite 12, Fort Meyers, FL 33912-1985 | 2393032820 | LEE KIDNEY CENTER PA |
| 3227 Lee Blvd, Suite 4, Lehigh Acres, FL 33971-1428 | 2393032820 | LEE KIDNEY CENTER PA |
| 3221 Tamiami Trl, Port Charlotte, FL 33952-8002 | 9415058720 | KIANOOSH KAVEH DO PA |
| Organization Legal Name | KIANOOSH KAVEH DO PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kianoosh Kaveh | Nephrology | Kianoosh Kaveh Do Pa | 15991 N Cleveland Ave, Fresenius Medical Care North Fort Myers LLC, North Fort Myers, FL 33903-2788 |
| Rohit L Pankhaniya | Nephrology | Kianoosh Kaveh Do Pa | 15991 N Cleveland Ave, Fresenius Medical Care North Fort Myers LLC, North Fort Myers, FL 33903-2788 |
| Nandheesha Hanumanthappa | Nephrology | Kianoosh Kaveh Do Pa | 15991 N Cleveland Ave, Fresenius Medical Care North Fort Myers LLC, North Fort Myers, FL 33903-2788 |
| Street Address |
3221 TAMIAMI TRL |
| City | PORT CHARLOTTE |
| State | FL |
| Zip | 33952-8002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Barrett | Clinical Social Worker | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Manuel F Gallego | Psychiatry | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Mason S Maulsby | Nurse Practitioner | Manuel Gallego Md Pa | 3460 Depew Circle, Port Charlotte, FL 33952 |
| Kimberly M Huggard | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Rita F De Palma | Nurse Practitioner | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| David M Reilly | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Ewa A Bialikiewicz | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Gary B Jacobs | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Douglas G Henricks | Internal Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Joseph Piccolo | Family Medicine | Millennium Physician Group LLC | 2450 Tamiami Trl, Suite A, Port Charlotte, FL 33952-3922 |
| Find all physicians in zip 33952 | |||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | PORT CHARLOTTE + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.