Organization Active NPI

Nadia Kazim MD PA

  • Ophthalmology Physician
  • Bonita Springs, FL
National Provider Identifier
1679892350
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME101870 Issued in FL
Legal business name
NADIA KAZIM MD PA
Practice address
3501 Health Center Blvd
Suite 2170
Bonita Springs, FL 34135-8127
Phone
(239) 494-4900
Fax
(239) 494-8444
NPI assigned
May 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Ms. Lisa M Clifford, CPC
Title
Billing MGR
Phone
(239) 325-2088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME101870 FL Primary

Addresses

Primary practice location

3501 Health Center Blvd
Suite 2170
Bonita Springs, FL 34135-8127

Mailing address

PO Box 895
Estero, FL 33929-0895
Phone (239) 494-4900

National Provider Directory

National Provider Directory

Locations

3501 Health Center Blvd
Unit 217
Estero, FL 34135

3501 S Tamiami Trl
#2170
Sarasota, FL 34239

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1679892350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339290895",
            "telephone_number": "239-494-4900",
            "fax_number": "239-494-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HEALTH CENTER BLVD",
            "address_2": "SUITE 2170",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341358127",
            "telephone_number": "239-494-4900",
            "fax_number": "239-494-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADIA KAZIM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "239-325-2088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME101870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.