Russ Kane, P.A.-C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0002566 Issued in FL

Practice address

10872 W Colonial Dr
Ocoee, FL 34761-2981

Phone

(407) 656-8848

Fax

(407) 656-6901

NPI assigned

Sep 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakeside of Orlando Inc

  • Occupational Medicine Clinic/Center
  • Orlando, FL
  • NPI 1386961894
  NPD (past)
• Ocoee Family Medical Center

  • Primary Care Clinic/Center
  • Ocoee, FL
  • NPI 1881604791
  NPD (past)

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1508015140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 IBIS CT APT C",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414783",
            "telephone_number": "904-349-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10872 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347612981",
            "telephone_number": "407-656-8848",
            "fax_number": "407-656-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "RUSS",
        "credential": "P.A.-C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA0002566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natacha Anne Jules, APRN
• Robert John Juliano Jr., LMT
• Sumyra Kachru, M.D.
• Bindu Ann Kakkanatt, MD
• Jessica Kallinger, D.P.T.
• Jan Victor Karlin, M.D.
• Ryan Craig Karlin
• Mohammad Abul Kasem, B. D. S.
• Amandeep Singh Kataria, MD
• Josiah Daniel Keene

• Medical Physician Assistant in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.