SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. (NPI# 1083806699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083806699 |
| Entity Type | Organization |
| Organization Name | SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. |
| Practice Address |
1954 E Houston St Ste 103 San Antonio TX 78202-2951 |
| Mailing Address |
7142 San Pedro Ave Ste. 120 San Antonio TX 78216-6254 |
| Practice Telephone | 2102280743 |
| Practice Fax Number | 2102289749 |
| Mailing Telephone | 2106625622 |
| Mailing Fax Number | 2106613795 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |
| Authorized Official Name | MR. CLAY ROBY (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2106615622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992002547 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 9846 Westover Hills Blvd, Suite 101, San Antonio, TX 78251-4125 | 2011-02-17 |
| 1114235934 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 1320 W Oaklawn Rd, Suite H, Pleasanton, TX 78064-4315 | 2010-09-14 |
| 1174710040 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 1410 E Walnut St, Seguin, TX 78155-5175 | 2007-09-25 |
| 1215057534 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 7114 San Pedro Ave, San Antonio, TX 78216-6218 | 2007-03-30 |
| 1114045846 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 32665 Hwy 281 N, Ste 206, Bulverde, TX 78163-3124 | 2007-03-27 |
| 1164540134 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 222 Sidney Baker S, Suite 208, Kerrville, TX 78028-5994 | 2007-03-27 |
| 1356325922 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 7142 San Pedro Ave, Ste 120, San Antonio, TX 78216-6256 | 2005-12-06 |
| 1417594995 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Clinic/Center | 7114 San Pedro Ave, San Antonio, TX 78216-6218 | 2019-12-04 |
| 1013336791 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Internal Medicine | 215 E Quincy St, Suite 420, San Antonio, TX 78215-2034 | 2014-04-10 |
| 1467707240 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 2902 Goliad Rd, Suite 103, San Antonio, TX 78223-3971 | 2012-07-18 |
| Street Address |
1954 E HOUSTON ST STE 103 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78202-2951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336143692 | Linda Janet Holley | Pediatrics | 1954 E Houston St, Rm 104, San Antonio, TX 78202-2952 | 2005-06-02 |
| 1497029755 | Loren D Alves, Dmd, Pa | Dentist | 1954 E Houston St, Ste. 210, San Antonio, TX 78202-2951 | 2012-03-05 |
| 1659691665 | Holmes Diagnostics | Clinic/Center | 1954 E Houston St, Suite 106, San Antonio, TX 78202-2951 | 2010-06-02 |
| 1841478492 | Robert A. Weiss, M.d.p.a. | Internal Medicine | 1954 E Houston St, Suite 102, San Antonio, TX 78202-2951 | 2008-02-06 |
| 1811056542 | Downtown South Texas Center for Pediatric Care | Pediatrics | 1954 E Houston St, Suite 104, San Antonio, TX 78202-2951 | 2006-12-08 |
| 1396797874 | Stone Oak South Texas Center for Pediatric Care | Pediatrics | 1954 E Houston St, Suite 104, San Antonio, TX 78202-2951 | 2006-05-16 |
| 1891746087 | Karsen Diagnostics LLC | Specialist/Technologist, Other | 1954 E Houston St, Suite 106, San Antonio, TX 78202-2951 | 2006-05-13 |
| 1164472189 | Medical Center South Texas Center for Pediatric Care | Pediatrics | 1954 E Houston St, Suite 104, San Antonio, TX 78202-2951 | 2006-05-11 |
| 1659321677 | Southwest South Texas Center for Pediatric Care | Pediatrics | 1954 E Houston St, Suite 104, San Antonio, TX 78202-2951 | 2006-05-11 |
| 1851341879 | Southeast South Texas Center for Pediatric Care | Pediatrics | 1954 E Houston St, Suite 104, San Antonio, TX 78202-2951 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902019169 | Kenneth Williams Dpm | Podiatrist | 1954 E Houston, Ste 202, San Antonio, TX 78202 | 2007-05-07 |
| 1821115122 | H-e-b, Lp | Pharmacy | 415 N New Braunfels, San Antonio, TX 78202 | 2007-03-23 |
| 1215418520 | Nicholas James Dahlin | Physical Therapy Assistant | 921 Nolan St, San Antonio, TX 78202 | 2018-08-24 |
| 1760022081 | Amanda Rae Reyes | Social Worker | 239 N Center St Unit 404, San Antonio, TX 78202-0007 | 2020-01-14 |
| 1023294840 | Ella Austin Community Center | Clinic/Center | 1023 N Pine St, San Antonio, TX 78202-1203 | 2008-01-10 |
| 1760636500 | Rejuvenating Adult Day Care | Day Training, Developmentally Disabled Services | 1023 N Pine St, Bldg 4, San Antonio, TX 78202-1203 | 2008-11-06 |
| 1457675068 | Lisa Marie Cleveland | Nurse Practitioner | 618 Live Oak, San Antonio, TX 78202-1932 | 2010-03-25 |
| 1740517143 | Arlena Clarice Smith | Respite Care | 924 Saint James, San Antonio, TX 78202-2012 | 2009-11-06 |
| 1154495182 | El Centro Del Barrio, Inc. | Clinic/Center | 204 Nolan, San Antonio, TX 78202-2153 | 2006-11-20 |
| 1811141062 | Olivia Gonzales | Social Worker | 204 Nolan, San Antonio, TX 78202-2153 | 2008-11-13 |
| Find all providers in zip 78202 | ||||
| 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 |
|---|---|---|---|---|
| 1871656025 | Irving Matthew Cohen | Internal Medicine | 18739 Double Fork Rd, San Antonio, TX 78258 | 2006-12-19 |
| 1851368112 | Renal Associates, P.a. | Internal Medicine | 16620 N Us Hwy 281, Ste 300, San Antonio, TX 78232-2679 | 2006-03-07 |
| 1881660454 | Michael Degaetano | Internal Medicine | 5620 Lone Star Pkwy # 2, San Antonio, TX 78253-2202 | 2006-02-24 |
| 1922074798 | Anwar Soliman Gerges | Internal Medicine | 19234 Stonehue, San Antonio, TX 78258-3477 | 2006-02-23 |
| 1144295064 | Timoteo Cabrera IIi | Internal Medicine | 303 N Frio St, San Antonio, TX 78207-3034 | 2006-02-22 |
| 1730154667 | Cleve Brantley Collins | Internal Medicine | 5131 Medical Dr, Ste 120, San Antonio, TX 78229-5062 | 2006-02-22 |
| 1811962723 | Lisa Ochoa Cabrera | Internal Medicine | 4439 E Southcross Blvd, Renal Associates Pa, San Antonio, TX 78222-7822 | 2006-02-22 |
| 1467427401 | Ronald W Hamner | Internal Medicine | 1123 N Main Ave Ste 120, San Antonio, TX 78212-4738 | 2006-02-22 |
| 1184609349 | Rodolfo O Garza | Internal Medicine | 731 Carnoustie Dr, Suite 102, San Antonio, TX 78258-4799 | 2005-12-09 |
| 1447235908 | Peter Smolens | Internal Medicine | 2391 Ne Loop 410, Suite 405, San Antonio, TX 78217-5600 | 2005-12-07 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78202 |
Please comment or provide details below to improve the information on SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C..
| 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.