NEPHROLOGY & INTERNAL MEDICINE, INC. (NPI# 1013943109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013943109 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY & INTERNAL MEDICINE, INC. |
| Other Organization Name | INDIANA KIDNEY INSTITUTE |
| Practice Address |
5510 S East St Indianapolis IN 46227-1938 |
| Mailing Address |
5510 S East St Ste H Indianapolis IN 46227-1938 |
| Practice Telephone | 3179248425 |
| Practice Fax Number | 3179248424 |
| Mailing Telephone | 3179248425 |
| Mailing Fax Number | 3179248424 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | DR. NANCY REGINA BAIRD (C.E.O.) |
| Authorized Official Telephone | 3179248425 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
=========-001 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100061370 | 05 |
| Other Name | Type Code |
|---|---|
| Indiana Kidney Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548785116 | Nephrology & Internal Medicine, Inc. | Clinic/Center | 1420 N Senate Ave Ste A, Indianapolis, IN 46202-2211 | 2017-08-04 |
| Street Address |
5510 S EAST ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-1938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457749566 | Activate Healthcare - Teamsters Clinic | Clinic/Center | 5510 S East St, Bldg A, Ste. B, Indianapolis, IN 46227-1938 | 2014-12-26 |
| 1710306758 | Bridget Eaker | Dentist | 5510 S East St, Suite C, Indianapolis, IN 46227-1938 | 2014-04-07 |
| 1740363001 | James Worman | Physician Assistant | 5510 S East St, Bldg A, Suite B, Indianapolis, IN 46227-1938 | 2006-10-23 |
| 1417978420 | Brookwood Denture Specialists, Inc | Dentist | 5510 S East St, Suite C, Indianapolis, IN 46227-1938 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215463955 | William Louis Macias | Internal Medicine | 9129 Log Run Dr S, Indianapolis, IN 46234-1343 | 2017-05-01 |
| 1679924013 | Peter Eloho Umukoro | Internal Medicine | 950 W Walnut St Rm 202, Indianapolis, IN 46202 | 2016-06-27 |
| 1215270897 | Lori Wanko | Internal Medicine | 8205 E 56th St Ste 250, Indianapolis, IN 46216-1097 | 2013-04-01 |
| 1265747703 | Yasser Aldurra | Internal Medicine | 8330 Naab Rd Ste 234, Indianapolis, IN 46260-1932 | 2010-08-09 |
| 1982850244 | William Henry Dick | Internal Medicine | 6737 La Tour Cir, Indianapolis, IN 46278-1546 | 2008-08-18 |
| 1104922582 | Nephrology Associates of Indianapolis, LLC | Internal Medicine | 6350 Rucker Rd, Suite 103, Indianapolis, IN 46220-4893 | 2006-09-15 |
| 1285682054 | Sisir K Dhar | Internal Medicine | 12256 Wayside Rd, Indianapolis, IN 46256-9432 | 2006-05-04 |
| 1194780403 | Timothy A Sutton | Internal Medicine | 950 W Walnut St, E 276, Indianapolis, IN 46202-5188 | 2006-04-19 |
| 1114982642 | Mindaugas Zekonis | Internal Medicine | 1801 N. Senate Blvd, Suite 355, Indianapolis, IN 46202-1252 | 2006-04-18 |
| 1043205800 | Douglas Maxwell | Internal Medicine | 1350 E County Line Rd, Suite L, Indianapolis, IN 46227-0873 | 2005-09-16 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
Please comment or provide details below to improve the information on NEPHROLOGY & INTERNAL MEDICINE, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.