Gulf Coast Kidney Associates, PL

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

GULF COAST KIDNEY ASSOCIATES, PL

Practice address

1921 Waldemere St
Suite 306
Sarasota, FL 34239-2943

Phone

(941) 917-8722

Fax

(941) 917-8727

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Andrew L. Lazin, M.D.

Title

Staff Physician

Phone

(941) 917-8722

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 2

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

• Lorraine Sheryl Cho Chung Hing, M.D.

  • Nephrology Physician
  • Venice, FL
  • NPI 1285626499
  NPD (past)
• Peter R. Jensen, M.D.

  • Hospitalist Physician
  • New Haven, CT
  • NPI 1861484917

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1962467373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST",
            "address_2": "SUITE 306",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392943",
            "telephone_number": "941-917-8722",
            "fax_number": "941-917-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST",
            "address_2": "SUITE 306",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392943",
            "telephone_number": "941-917-8722",
            "fax_number": "941-917-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST KIDNEY ASSOCIATES, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "LAZIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "STAFF PHYSICIAN",
        "authorized_official_telephone_number": "941-917-8722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254520001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254542000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38341",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.