Organization Active NPI

Florida Kidney & Hypertension Clinic Inc

  • Nephrology Physician
  • Orange Park, FL
National Provider Identifier
1982878450
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME93749 Issued in FL
Legal business name
FLORIDA KIDNEY & HYPERTENSION CLINIC INC
Practice address
2140 Kingsley Ave
Suite 10
Orange Park, FL 32073-5129
Phone
(904) 529-5252
Fax
(904) 529-5253
NPI assigned
Apr 16, 2008
Last updated
Jun 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Dr. Rama Thambuganipalle, M.D.
Title
President
Phone
(904) 451-1005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME93749 FL Primary

Addresses

Primary practice location

2140 Kingsley Ave
Suite 10
Orange Park, FL 32073-5129

Mailing address

2140 Kingsley Ave
Suite 10
Orange Park, FL 32073-5180
Phone (904) 529-5252

Other identifiers 1

IdentifierTypeStateIssuer
54259OtherFLBCBS

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

705 Ferris St
Green Cv Spgs, FL 32043
Phone (904) 284-4510

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1982878450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 KINGSLEY AVE",
            "address_2": "SUITE 10",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735180",
            "telephone_number": "904-529-5252",
            "fax_number": "904-529-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 KINGSLEY AVE",
            "address_2": "SUITE 10",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735129",
            "telephone_number": "904-529-5252",
            "fax_number": "904-529-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA KIDNEY & HYPERTENSION CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "THAMBUGANIPALLE",
        "authorized_official_first_name": "RAMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-451-1005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME93749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54259",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.