Organization Active NPI

Kissimmee Nephrology & Hypertension, PA

  • Nephrology Physician
  • Kissimmee, FL
National Provider Identifier
1861688004
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KISSIMMEE NEPHROLOGY & HYPERTENSION, PA
Practice address
2220 E Irlo Bronson Hwy
Suite 5
Kissimmee, FL 34744-5312
Phone
(407) 847-0019
Fax
(407) 518-0119
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Rizwan Zaman
Title
Administrator
Phone
(407) 830-5080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X FL Primary

Addresses

Primary practice location

2220 E Irlo Bronson Hwy
Suite 5
Kissimmee, FL 34744-5312

Mailing address

2220 E Irlo Bronson Hwy
Suite 5
Kissimmee, FL 34744-5312
Phone (407) 847-0019

Other identifiers 4

IdentifierTypeStateIssuer
1003858275OtherFLINDIVIDUAL NPI #
1386747798OtherFLINDIVIDUAL NPI #
44193ZOtherFLINDIVIDUAL MC PROVIDER #
AC951ZOtherFLINDIVIDUAL MC PROVIDER #

National Provider Directory

National Provider Directory

Locations

2220 E Irlo Bronson Memorial Hwy
Ste 5
Kissimmee, FL 34744
Phone (407) 847-0019

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1861688004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E IRLO BRONSON HWY",
            "address_2": "SUITE 5",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445312",
            "telephone_number": "407-847-0019",
            "fax_number": "407-518-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E IRLO BRONSON HWY",
            "address_2": "SUITE 5",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445312",
            "telephone_number": "407-847-0019",
            "fax_number": "407-518-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSIMMEE NEPHROLOGY & HYPERTENSION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "ZAMAN",
        "authorized_official_first_name": "RIZWAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-830-5080"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1003858275",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1386747798",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MC PROVIDER #",
            "identifier": "44193Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MC PROVIDER #",
            "identifier": "AC951Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.