Alexander Kiss MD,PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME0056104 Issued in FL

Legal business name

ALEXANDER KISS MD,PA

Practice address

38168 Medical Center Ave
Zephyrhills, FL 33540-1380

Phone

(813) 788-0378

Fax

(813) 788-6688

NPI assigned

Jun 30, 2011

Organization subpart

No

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

Authorized official

Name

Alexander Kiss, MD

Title

Owner

Phone

(813) 788-0378

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EAST PASCO NEUROLOGICAL CENTER Doing business as

Locations

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1275820045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38168 MEDICAL CENTER AVE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335401380",
            "telephone_number": "813-788-0378",
            "fax_number": "813-788-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38168 MEDICAL CENTER AVE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335401380",
            "telephone_number": "813-788-0378",
            "fax_number": "813-788-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER KISS MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "KISS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-788-0378",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME0056104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061272300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "FE836A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST PASCO NEUROLOGICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sujani Akkineni, M.D.
• Ambreen Syed Alam, D.O.
• Geanna Benne Alamares
• Kelsey Albritton
• Kelsey Alcocer, O.D.
• Tyra Alexander
• Raven Shamaniek Ali-Muhammad, ARNP
• Momodu A Ali, DDS
• Nikita Alicea, CRNP
• All in One Medical Associates LLC

• All providers in Zephyrhills, FL
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.