Organization Active NPI

Total Kidney Oversight PA

  • Specialist
  • Fort Myers, FL
National Provider Identifier
1366857070
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TOTAL KIDNEY OVERSIGHT PA
Practice address
9400 Gladiolus Dr
Fort Myers, FL 33908-6699
Phone
(239) 999-9999
NPI assigned
Jun 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Ms. Laureen Marino, MBA
Title
Cfo
Phone
(239) 513-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

9400 Gladiolus Dr
Fort Myers, FL 33908-6699

Mailing address

9400 Gladiolus Dr
Fort Myers, FL 33908-6699

National Provider Directory

National Provider Directory

Locations

9400 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 437-5444

878 109th Ave N
Ste 1
Naples, FL 34108
Phone (239) 513-1002

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1366857070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086699",
            "telephone_number": "239-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL KIDNEY OVERSIGHT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "LAUREEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "239-513-1002",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.