Living Stone Nephrology and Hypertension Consultants Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME98154 Issued in FL

Legal business name

LIVING STONE NEPHROLOGY AND HYPERTENSION CONSULTANTS INC

Practice address

17901 NW 5TH St
Suite 203
Pembroke Pines, FL 33029-2810

Phone

(954) 438-8085

Fax

(954) 438-8086

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Ifeanyi Isaiah, MDNPI 1093936551

Title

Owner

Phone

(954) 438-8085

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 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
  • Miami Gardens, FL
  • NPI 1639594211
  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.

• Ifeanyi O Isaiah, MD

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

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1790014017",
    "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": "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING STONE NEPHROLOGY AND HYPERTENSION CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "ISAIAH",
        "authorized_official_first_name": "IFEANYI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-438-8085",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME98154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.