Kidney Institute of Naples, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

KIDNEY INSTITUTE OF NAPLES, LLC

Practice address

878 109TH Ave N
Naples, FL 34108-1821

Phone

(239) 596-3044

NPI assigned

Jun 26, 2006

Last updated

Oct 25, 2010By 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

Mark S Russo, MD, PHDNPI 1316934326

Title

Owner

Phone

(239) 513-1002

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Mark Steven Russo, MD, PHD

  • Nephrology Physician
  • Naples, FL
  • NPI 1316934326
  Authorized official Same address or phone
• Dana Alan Campbell, M.D.

  • Nephrology Physician
  • Belleair, FL
  • NPI 1902873623
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1376579607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 109TH AVE NO",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081821",
            "telephone_number": "239-596-3044",
            "fax_number": "239-596-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 109TH AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081821",
            "telephone_number": "239-596-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY INSTITUTE OF NAPLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-513-1002",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eshan Malik Kibria, DO
• Sean M. Kibria, DPM
• Brandy Michelle Kidd, M.S.W., L.C.S.W.
• Kidmotion Brenda Chilstrom Pediatric Occupational Therapist LLC
• Kidmotion: Brenda Chilstrom, Pediatric Occupational Therapy, LLC
• Kids First Pediatric Center
• Kids R Kids Therapy, LLC
• Kids Solutions Inc
• Kidz Medical Services Inc.
• Kiefer Professional Services Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.