Palm Beach Nephrology Partners LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME111442 Issued in FL

Legal business name

PALM BEACH NEPHROLOGY PARTNERS LLC

Practice address

13005 State Road 80
Suite 141
Loxahatchee, FL 33470-9206

Phone

(561) 798-4600

Fax

(561) 798-1132

NPI assigned

Jan 17, 2017

Last updated

Jan 17, 2017By 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. Fernando Enrique Ottino, M.D.NPI 1326224569

Title

Manager

Phone

(561) 914-1277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

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.

• Fernando Enrique Ottino, M.D.

  • Nephrology Physician
  • Loxahatchee, FL
  • NPI 1326224569
  Medicare reassignment NPD Authorized official
• Mohamad Mudar Morad, M.D

  • Nephrology Physician
  • Loxahatchee, FL
  • NPI 1316110513
  Medicare reassignment NPD
• Ronald B Vigo Vigo, M. D.

  • Nephrology Physician
  • Anasco, PR
  • NPI 1326356395

  FL, Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1164968970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 STATE ROAD 80",
            "address_2": "SUITE 141",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-798-4600",
            "fax_number": "561-798-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 STATE ROAD 80",
            "address_2": "SUITE 141",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709206",
            "telephone_number": "561-798-4600",
            "fax_number": "561-798-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH NEPHROLOGY PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "OTTINO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-914-1277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME111442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.