Active NPI
Kuncheria Joseph MD PA
- Medical Specialty Clinic/Center
- Venice, FL
National Provider Identifier
1336459379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- ME31818
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144415324 | Other | FL | NPPES DR KUNCHERIA JOSEPHMD |
National Provider Directory
National Provider DirectoryLocations
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.