Active NPI
Kaze Health
- Clinic/Center
- Lakeland, FL
National Provider Identifier
1902491228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- KAZE HEALTH
- Practice address
- 4648 E County Road 540a
Lakeland, FL 33813-4472 - Phone
- (863) 513-0673
- NPI assigned
- Mar 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aaron Mohamed, PARAMEDIC
- Title
- Owner
- Phone
- (863) 450-5293
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | |||
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | |||
| Family Medicine Physician | 207Q00000X | |||
| Home Infusion Agency | 251F00000X | |||
| Clinic/Center | 261Q00000X | Primary | ||
| Health Service Clinic/Center | 261QH0100X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | |||
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
4648 E County Road 540a
Lakeland, FL 33813-4472
Mailing address
4648 E County Road 540a
Lakeland, FL 33813-4472
Phone (863) 450-5293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538137518 | Other | FL | NPI |
National Provider Directory
National Provider DirectoryLocations
4648 E County Road 540A
Lakeland, FL 33813
Phone (863) 250-5293
Interoperability endpoints
- https://api.platform.athenahealth.com/23615/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Medicine Physician
- Temple Terrace, FL
- NPI 1538137518
-
- Nurse Practitioner
- Lakeland, FL
- NPI 1790454700
-
- Family Medicine Physician
- Calabasas, CA
- NPI 1093058463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1902491228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4648 E COUNTY ROAD 540A",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338134472",
"telephone_number": "863-450-5293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4648 E COUNTY ROAD 540A",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338134472",
"telephone_number": "863-513-0673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAZE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-08",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "MOHAMED",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-450-5293",
"authorized_official_credential": "PARAMEDIC"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Paramedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1538137518",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.