INTERNAL MEDICINE NEPHROLOGY, INC. (NPI# 1083662779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083662779 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE NEPHROLOGY, INC. |
| Practice Address |
1625 N 4th St Terre Haute IN 47804-4067 |
| Practice Telephone | 8122328716 |
| Practice Fax Number | 8122327768 |
| Mailing Telephone | 8122328716 |
| Mailing Fax Number | 8122327768 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-11-01 |
| Authorized Official Name | SISIR K DHAR (PRESIDENT) |
| Authorized Official Telephone | 8122328716 |
| 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 |
50001842A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851507693 | Internal Medicine Nephrology, Inc. | Internal Medicine | 557 W Broadway St, Shelburn, IN 47879-1232 | 2007-05-16 |
| Street Address |
1625 N 4TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47804-4067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497729818 | Manish Gera | Internal Medicine | 1625 N 4th St, Terre Haute, IN 47804-4067 | 2006-02-14 |
| 1699255232 | William Earl Horning | Physician Assistant | 1625 N 4th St, Terre Haute, IN 47804 | 2018-08-14 |
| 1235685421 | Lynnaire Jastillano | Physician Assistant | 1625 N 4th St, Terre Haute, IN 47804-4067 | 2016-08-29 |
| 1851349682 | Raj Jeevan | Internal Medicine | 1625 N 4th St, Terre Haute, IN 47804-4067 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971885 | Tiffany Marshall | Physical Therapist | North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 | 2017-09-29 |
| 1336565423 | Deondra Allison Cottrill | Physical Therapy Assistant | 1725 N. 5th Street, Union Hospital Therapy Services, Terre Haute, IN 47804 | 2014-03-13 |
| 1043635170 | Patricia Klos | Physical Therapy Assistant | 1606 Nth 7th Street, Terre Haute, IN 47804 | 2014-02-26 |
| 1043565476 | Debra Denehie Hills | Registered Nurse | 620 8th Avenue, Terre Haute, IN 47804 | 2012-07-23 |
| 1841503257 | Meredeth Su Gray | Dentist | 1608 Lafayette Avenue, Terre Haute, IN 47804 | 2010-07-15 |
| 1083946628 | John Barton, Lpt | Health Maintenance Organization | 1818 N 3rd Street, Terre Haute, IN 47804 | 2010-02-08 |
| 1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
| 1619006988 | Union Hospital Inc | Student in an Organized Health Care Education/Training Program | 1513 N 6 1-2 Street, Terre Haute, IN 47804 | 2007-03-05 |
| 1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
| 1093894057 | Isaac N Mitre | Obstetrics & Gynecology | 1623 N 4th Street, Terre Haute, IN 47804 | 2006-11-02 |
| Find all providers in zip 47804 | ||||
| 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 |
|---|---|---|---|---|
| 1386691459 | Kidney and Hypertension Center of Indiana, PC | Internal Medicine | 3740 S 4th St, Terre Haute, IN 47802-5507 | 2006-05-27 |
| 1497729818 | Manish Gera | Internal Medicine | 1625 N 4th St, Terre Haute, IN 47804-4067 | 2006-02-14 |
| 1396182788 | Kidney and Hypertension Center of Wabash Valley, LLC | Internal Medicine | 1801 N 6th St, Suite # 200, Terre Haute, IN 47804-4086 | 2013-05-27 |
| 1730201096 | Kumar Gaurav | Internal Medicine | 1801 N 6th St, Suite # 200, Terre Haute, IN 47804-4086 | 2007-04-05 |
| 1851349682 | Raj Jeevan | Internal Medicine | 1625 N 4th St, Terre Haute, IN 47804-4067 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225684368 | Fort Wayne Vascular Care LLC | Internal Medicine | 1833 Magnavox Way # 100, Fort Wayne, IN 46804-1539 | 2019-08-14 |
| 1952962516 | Rafael Juan Igartua | Internal Medicine | 1450 Solemar Dr, West Lafayette, IN 47906-8867 | 2019-06-25 |
| 1215463955 | William Louis Macias | Internal Medicine | 9129 Log Run Dr S, Indianapolis, IN 46234-1343 | 2017-05-01 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1679924013 | Peter Eloho Umukoro | Internal Medicine | 950 W Walnut St Rm 202, Indianapolis, IN 46202 | 2016-06-27 |
| 1124423546 | Beacon Medical Group, Inc. | Internal Medicine | 100 Navarre Pl Ste 4400, South Bend, IN 46601-1100 | 2014-10-28 |
| 1619309317 | Kevin Joseph Lavelle | Internal Medicine | 621 First Ave. N.e., Carmel, IN 46032 | 2013-08-05 |
| 1215270897 | Lori Wanko | Internal Medicine | 8205 E 56th St Ste 250, Indianapolis, IN 46216-1097 | 2013-04-01 |
| 1326319724 | Robert Wayne Dettmer | Internal Medicine | 2935 Ambleside Way, Fort Wayne, IN 46804-2443 | 2012-01-18 |
| 1265747703 | Yasser Aldurra | Internal Medicine | 8330 Naab Rd Ste 234, Indianapolis, IN 46260-1932 | 2010-08-09 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47804 |
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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.