Organization Active NPI

Kuncheria Joseph MD PA

  • Medical Specialty Clinic/Center
  • Venice, FL
National Provider Identifier
1336459379
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ME31818 Issued in FL
Legal business name
KUNCHERIA JOSEPH MD PA
Practice address
1101 Tamiami TRL S
Suite 202
Venice, FL 34285-4133
Phone
(941) 485-6969
Fax
(941) 894-6226
NPI assigned
Oct 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Dr. Kuncheria Joseph, MD
Title
President/Sole Owner/Physician
Phone
(941) 485-6969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME31818 FL Primary

Addresses

Primary practice location

1101 Tamiami TRL S
Suite 202
Venice, FL 34285-4133

Mailing address

1101 Tamiami TRL S
Suite 202
Venice, FL 34285-4133
Phone (941) 485-6969

Other identifiers 1

IdentifierTypeStateIssuer
1144415324OtherFLNPPES DR KUNCHERIA JOSEPHMD

National Provider Directory

National Provider Directory

Locations

1101 Tamiami Trl S
Ste 202
Venice, FL 34285
Phone (941) 485-6969

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1336459379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TAMIAMI TRL S",
            "address_2": "SUITE 202",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342854133",
            "telephone_number": "941-485-6969",
            "fax_number": "941-894-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TAMIAMI TRL S",
            "address_2": "SUITE 202",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342854133",
            "telephone_number": "941-485-6969",
            "fax_number": "941-894-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNCHERIA JOSEPH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "KUNCHERIA",
        "authorized_official_title_or_position": "PRESIDENT/SOLE OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "941-485-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME31818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES DR KUNCHERIA JOSEPHMD",
            "identifier": "1144415324",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.