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

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, PHD

Title

Owner

Phone

(239) 513-1002

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892063000",
            "state": "FL"
        }
    ],
    "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
• 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.