Melbourne and Palm Bay Nephrology Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME82565 Issued in FL

Legal business name

MELBOURNE AND PALM BAY NEPHROLOGY INC.

Practice address

7770 Bay St
Suite 13
Sebastian, FL 32958-3427

Phone

(772) 581-2750

Fax

(772) 581-8362

NPI assigned

Oct 24, 2007

Last updated

Nov 18, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marchelle Kay Hofeldt, M.D.NPI 1770670457

Title

Owner, Sole Entity

Phone

(772) 581-2750

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marchelle Kay Hofeldt, M.D.

  • Nephrology Physician
  • Vero Beach, FL
  • NPI 1770670457
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1124217328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 BAY ST",
            "address_2": "SUITE 13",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583427",
            "telephone_number": "772-581-2750",
            "fax_number": "772-581-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 BAY ST",
            "address_2": "SUITE 13",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583427",
            "telephone_number": "772-581-2750",
            "fax_number": "772-581-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELBOURNE AND PALM BAY NEPHROLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "HOFELDT",
        "authorized_official_first_name": "MARCHELLE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER, SOLE ENTITY",
        "authorized_official_telephone_number": "772-581-2750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME82565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261687400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eugene T. McElwee Jr., D.O.
• Betty Jane McGuigan, PH.D.
• Robert Leon McGuigan, LMHC
• Medfast Urgent Care Centers, LLC
• Mefl, LLC
• Joy Melton, MA, EDS
• Laura Leigh Melton, RN
• Victoria Eugenia Meneses, COTA
• Noor Mohammed Merchant, M.D.
• Norman Isaac Meyer, M.D.

• Nephrology Physician in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.