Living Stone Nephrology and Hypertension Consultants, Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME 98154 Issued in FL

Legal business name

LIVING STONE NEPHROLOGY AND HYPERTENSION CONSULTANTS, INC.

Practice address

17325 NW 27TH Ave
Suite 108
Miami Gardens, FL 33056-4056

Phone

(954) 438-8085

Fax

(954) 438-8086

NPI assigned

Feb 19, 2014

Last updated

Feb 24, 2014By 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

Dr. Ifeanyi O Isaiah, MDNPI 1093936551

Title

Owner

Phone

(954) 438-8085

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Living Stone Nephrology and Hypertension Consultants Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Living Stone Nephrology and Hypertension Consultants Inc

  • Nephrology Physician
  • Pembroke Pines, FL
  • NPI 1790014017
  NPD tax ID

Locations

Practitioners 1

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.

• Ifeanyi O Isaiah, MD

  • Nephrology Physician
  • Pembroke Pines, FL
  • NPI 1093936551
  NPD Authorized official

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1639594211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 NW 5TH ST",
            "address_2": "SUITE 203",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292810",
            "telephone_number": "954-438-8085",
            "fax_number": "954-438-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 NW 27TH AVE",
            "address_2": "SUITE 108",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564056",
            "telephone_number": "954-438-8085",
            "fax_number": "954-438-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING STONE NEPHROLOGY AND HYPERTENSION CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "ISAIAH",
        "authorized_official_first_name": "IFEANYI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-438-8085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME 98154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME 98154",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.