American Nephrology Associates. PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME79931 Issued in FL

Legal business name

AMERICAN NEPHROLOGY ASSOCIATES. PA

Practice address

9430 Turkey Lake Rd
Suite 214
Orlando, FL 32819-8015

Phone

(407) 352-5323

Fax

(407) 248-9700

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Flori Foxx, LPN II

Title

Office Manager

Phone

(407) 352-5323

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Samuel Busa Realista, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1194052811
  NPD (past)
• Hasan Shahab, M.D.

  • Nephrology Physician
  • Orlando, FL
  • NPI 1134320500
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1720167513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692036",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328692036",
            "telephone_number": "407-352-5323",
            "fax_number": "407-248-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 TURKEY LAKE RD",
            "address_2": "SUITE 214",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198015",
            "telephone_number": "407-352-5323",
            "fax_number": "407-248-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN NEPHROLOGY ASSOCIATES. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "FOXX",
        "authorized_official_first_name": "FLORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-352-5323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN II"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME79931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1154387165",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Healthcare LLC
• American Home Health of Central Florida, LLC
• American in-Home Care
• American Infusion, LLC
• American Medical Suppliers Inc
• American Neuropathy Institute LLC
• American Pharmaceutical Services Inc
• American Pride Home Care Services Corp
• American Spine & Orthopaedic Institute, LLC
• American Therapeutic Corporation

• Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.