NORTH TEXAS KIDNEY DISEASE ASSOCIATES (NPI# 1063871440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063871440 |
Entity Type | Organization |
Organization Name | NORTH TEXAS KIDNEY DISEASE ASSOCIATES |
Practice Address |
4370 Medical Arts Dr Suite 210 Flower Mound TX 75028 |
Mailing Address |
3315 Colorado Blvd Suite 102 Denton TX 76210-6884 |
Practice Telephone | 9722190558 |
Practice Fax Number | 9724369273 |
Mailing Telephone | 9403201708 |
Mailing Fax Number | 9405655457 |
Enumeration Date | 2016-02-15 |
Last Update Date | 2018-07-11 |
Authorized Official Name | TAMMY VAUGHN (CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 9403201708 |
Is Organization Subpart | Y |
Parent Organization Name | NORTH TEXAS KIDNEY DISEASE ASSOCIATES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 146883702 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154875839 | North Texas Kidney Disease Associates | Internal Medicine | 4708 Alliance Blvd Ste 685, Plano, TX 75093 | 2016-08-10 |
1750405197 | North Texas Kidney Disease Associates | Internal Medicine | 3315 Colorado Blvd Ste 102, Denton, TX 76210 | 2007-03-19 |
1821169632 | North Texas Kidney Disease Associates | Internal Medicine | 1600 Waters Ridge Dr, Ste. A, Lewisville, TX 75057 | 2006-11-13 |
1790239911 | North Texas Kidney Disease Associates | Internal Medicine | 6190 Lbj Fwy, Suite 702, Dallas, TX 75240 | 2016-08-04 |
1154777068 | North Texas Kidney Disease Associates | Internal Medicine | 4333 N Josey Ln, Suite 202, Carrollton, TX 75010 | 2016-05-10 |
1770942773 | North Texas Kidney Disease Associates | Internal Medicine | 4312 Heritage Trace Pkwy, Suite 708, Fort Worth, TX 76244 | 2016-02-18 |
1174990311 | North Texas Kidney Disease Associates | Internal Medicine | 4401 Coit Rd, Suite 303, Frisco, TX 75035 | 2015-08-24 |
1093182305 | North Texas Kidney Disease Associates | Internal Medicine | 2609 Scripture St, Denton, TX 76201 | 2015-08-24 |
1285036756 | North Texas Kidney Disease Associates | Internal Medicine | 1600 Coit Rd, Bldg. 1, Suite 300, Plano, TX 75075 | 2014-09-16 |
1245492511 | North Texas Kidney Disease Associates | Internal Medicine | 6331 Boulevard 26, Ste. 220, North Richland Hills, TX 76180 | 2008-06-27 |
Street Address |
4370 MEDICAL ARTS DR SUITE 210 |
City | FLOWER MOUND |
State | TX |
Zip Code | 75028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720089949 | Charles Po-yang Lee | Radiology | 4370 Medical Arts Dr, Ste 100, Flower Mound, TX 75028-1712 | 2005-08-10 |
1184015521 | Reproduction Healthcare Pllc | Specialist | 4370 Medical Arts Dr, #315, Flower Mound, TX 75028-1712 | 2015-02-06 |
1912308271 | Tx Digestive Disease Consultants | Nurse Practitioner | 4370 Medical Arts Dr, #295, Flower Mound, TX 75028-1712 | 2014-09-05 |
1144650375 | Complete Fertility Care, Pllc | Clinic/Center | 4370 Medical Arts Dr, Suite # 315, Flower Mound, TX 75028-1712 | 2013-11-25 |
1609112358 | Jeremy Drew Sanderson, Md, Pa | Otolaryngology | 4370 Medical Arts Dr, Suite 200, Flower Mound, TX 75028-1712 | 2012-12-28 |
1265693311 | Nishant Jayanti Patel | Internal Medicine | 4370 Medical Arts Dr, Suite 295, Flower Mound, TX 75028-1712 | 2008-06-20 |
1306046859 | Praveena Jyothinagaram | Specialist | 4370 Medical Arts Dr, Suite 210, Flower Mound, TX 75028-1712 | 2007-07-23 |
1679792048 | Jeremy Drew Sanderson | Otolaryngology | 4370 Medical Arts Dr, Suite 200, Flower Mound, TX 75028-1712 | 2007-04-24 |
1619001534 | Amy S Lungren Md Pa | Obstetrics & Gynecology | 4370 Medical Arts Dr, Suite 300, Flower Mound, TX 75028-1712 | 2007-03-15 |
1376645283 | John Lawrence Fairbanks | Urology | 4370 Medical Arts Dr, Suite 105, Flower Mound, TX 75028-1712 | 2006-09-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578185047 | Too Health LLC | Home Health | 1404 Mimosa Ct, Flower Mound, TX 75028 | 2020-05-07 |
1417448127 | Kyle Miller | Physical Therapist | 4401 Long Prairie Rd Ste 300, Flower Mound, TX 75028 | 2018-05-29 |
1659898450 | Daniel De Armas | Optometrist | 5801 Long Prairie Rd Ste 360, Flower Mound, TX 75028 | 2017-08-23 |
1740727114 | Darya Ilushin | Chiropractor | 4305 Windsor Centre Trl Ste 100, Flower Mound, TX 75028 | 2017-01-24 |
1033661194 | Rsquared Healthcare Solutions & Consulting | Dentist | 2121 Lavender Lane, Flower Mound, TX 75028 | 2016-10-25 |
1912450578 | Jeannie Jin Wang | Dentist | 4421 Long Prairie Rd., #400, Flower Mound, TX 75028 | 2016-08-01 |
1700232121 | Carla Upperman-xu | Pediatrics | 2560 Central Park Ave, Suite 195, Flower Mound, TX 75028 | 2016-05-05 |
1487015731 | Bincy Philip | Nurse Practitioner | 500 Flower Mound Rd, Suite 102, Flower Mound, TX 75028 | 2016-03-15 |
1710369491 | Medical Massage Rx | Chiropractor | 2616 Long Prairie Rd., Suite 101, Flower Mound, TX 75028 | 2015-06-18 |
1821485673 | Audrey Morris | Nurse Practitioner | 4441 Long Prairie Road, Suite 400, Flower Mound, TX 75028 | 2015-04-20 |
Find all providers in zip 75028 |
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 |
---|---|---|---|---|
1982203659 | Nephrology and Hypertension Specialists Pa | Internal Medicine | 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 | 2020-10-22 |
1437781960 | Haus Medical Group Pllc | Internal Medicine | 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 | 2020-02-12 |
1962040949 | Ngoc-han Thi Tran | Internal Medicine | 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 | 2019-12-20 |
1659916617 | Heartland Physicians Associates Nephrology Pllc | Internal Medicine | 150 Pine Forest Dr Ste 501, Shenandoah, TX 77384-5304 | 2019-11-14 |
1578106894 | Cardiorenal Therapeutics of North Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 365, Sherman, TX 75092-7393 | 2019-10-18 |
1639711534 | Immaculate Vascular Access Center Pllc | Internal Medicine | 349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091 | 2019-10-11 |
1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
1841849098 | Austin Kidney Care LLC | Internal Medicine | 2005 Palo Duro Rd, Austin, TX 78757-3242 | 2019-09-10 |
1467000828 | Ntkc-dfw, Pllc | Internal Medicine | 2220 Bryan Pl Ste 104, Midlothian, TX 76065-7127 | 2019-08-29 |
1306407697 | H&n Medical Investment, LLC | Internal Medicine | 4201 Medical Center Dr. Ste 240, Mckinney, TX 75069-1774 | 2019-06-26 |
Find all providers with the same taxonomy |
City | FLOWER MOUND |
Zip Code | 75028 |
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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.