SHORELINE MEDICAL GROUP, P.A. – NPI #1427160571
Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
SHORELINE MEDICAL GROUP, P.A. is a provider located in PORT SAINT JOE, FL. NPPES has assigned the NPI number 1427160571 to SHORELINE MEDICAL GROUP, P.A. on August 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology
The NPI profile was previously updated about 7 years ago on Dec 19, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHORELINE MEDICAL GROUP, P.A. below.
NPI Profile for
SHORELINE MEDICAL GROUP, P.A.
(about 20 years ago)
PORT SAINT JOE, FL 32456 Phone: (850) 229-8010 Fax: (850) 227-3177
1 Other location(s):
Port St Joe, FL 32456
Phone: (850) 229-8010
Fax: (850) 227-3177
PRESIDENT
Phone: (850) 229-8010
Identifiers for SHORELINE MEDICAL GROUP, P.A.
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MEDICAID RHC | FL | 377827401 |
| OTHER | MEDICARE RHC | 10-3887 | |
| MEDICAID | FL | 377827400 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RN0300X - Internal Medicine / Nephrology (Primary) |
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| 261QR1300X - Clinic/Center / Rural Health |
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| 208000000X - Pediatrics |
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| 207R00000X - Internal Medicine |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.