AUSTIN KIDNEY ASSOCIATES, P. A. (NPI# 1154669331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154669331 |
| Entity Type | Organization |
| Organization Name | AUSTIN KIDNEY ASSOCIATES, P. A. |
| Practice Address |
408 W 45th St Austin TX 78751-3014 |
| Mailing Address |
Po Box 81605 Austin TX 78708-1605 |
| Practice Telephone | 5124515800 |
| Practice Fax Number | 5124591399 |
| Mailing Telephone | 5123820037 |
| Mailing Fax Number | 5123820075 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-02-20 |
| Authorized Official Name | DR. JUDITH BETTS (PRESIDENT) |
| Authorized Official Telephone | 5123820037 |
| 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 |
TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801317904 | Austin Kidney Associates, P. A. | Clinic/Center | 8620 Burnet Rd Ste 400, Austin, TX 78757-7034 | 2017-06-29 |
| Street Address |
408 W 45TH ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78751-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518903525 | Malavika Vinta | Internal Medicine | 408 W 45th St, Austin, TX 78751-3014 | 2006-06-20 |
| 1962040055 | Nancy Le Uebbing | Nurse Practitioner | 408 W 45th St, Austin, TX 78751-3014 | 2019-12-19 |
| 1497208151 | Celestina Reyes Binner | Nurse Practitioner | 408 W 45th St, Austin, TX 78751-3014 | 2016-07-29 |
| 1891152377 | Sharmila Lakhani | Nurse Practitioner | 408 W 45th St, Austin, TX 78751-3014 | 2016-01-28 |
| 1972935195 | Debra Gilluly | Clinical Nurse Specialist | 408 W 45th St, Austin, TX 78751-3014 | 2013-07-30 |
| 1417210840 | Ruth Macdonald Rodriguez | Clinical Nurse Specialist | 408 W 45th St, Austin, TX 78751-3014 | 2012-06-20 |
| 1144512070 | Heidi S Booth | Clinical Nurse Specialist | 408 W 45th St, Austin, TX 78751-3014 | 2011-05-11 |
| 1114216009 | Ashvin Baru | Internal Medicine | 408 W 45th St, Austin, TX 78751-3014 | 2011-03-31 |
| 1689825093 | Stacy Leigh Ginn | Nurse Practitioner | 408 W 45th St, Austin, TX 78751-3014 | 2008-10-03 |
| 1366698995 | Kate Lynn Holub | Nurse Practitioner | 408 W 45th St, Austin, TX 78751-3014 | 2008-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235657867 | Joy Miller | Social Worker | 4920 N Ih 35 Suite 110, Austin, TX 78751 | 2017-09-04 |
| 1053859306 | Metabolic Therapy Inc. | Pharmacy | 4103 Avenue D, Austin, TX 78751 | 2017-02-07 |
| 1316390438 | Hillary Guest | Speech-Language Pathologist | 5406 Middle Fiskville Rd Apt 410, Austin, TX 78751 | 2016-07-14 |
| 1891151866 | Simonek Vision, Pllc | Optometrist | 1000 E. 41st Street, Suite 120, Austin, TX 78751 | 2016-01-06 |
| 1750771911 | Angela Ziskis | Psychologist | 4110 Gualdalupe Street, Building 794, Specialty Services, Austin, TX 78751 | 2015-01-27 |
| 1750783841 | Lizette Araujo | Psychologist | 5225 North Lamar Blvd., Austin, TX 78751 | 2014-09-19 |
| 1013323724 | Matrix Therapy, LLC | Clinic/Center | 5204 Avenue F, Austin, TX 78751 | 2014-07-02 |
| 1215281738 | Elizabeth Ann White | Clinical Nurse Specialist | 818 East 53rd Street, Austin, TX 78751 | 2012-11-06 |
| 1619259934 | Samir K Momin | Dentist | 1000 E 41st Street, Suite 230, Austin, TX 78751 | 2011-09-13 |
| 1467740753 | Gary G. Plakias | Technician, Other | 5400 N Lamar Blvd, 206b, Austin, TX 78751 | 2011-07-20 |
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| 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 |
|---|---|---|---|---|
| 1841849098 | Austin Kidney Care LLC | Internal Medicine | 2005 Palo Duro Rd, Austin, TX 78757-3242 | 2019-09-10 |
| 1518903525 | Malavika Vinta | Internal Medicine | 408 W 45th St, Austin, TX 78751-3014 | 2006-06-20 |
| 1619911880 | Peter L Miller | Internal Medicine | 321 W Ben White, Ste 205, Austin, TX 78704-7087 | 2006-06-16 |
| 1639112683 | Edith M Simmons | Internal Medicine | 321 W Ben White Blvd, Ste 205, Austin, TX 78704-7087 | 2006-06-14 |
| 1588633846 | Robert E. Hootkins | Internal Medicine | 2119 Wimberly Ln, Austin, TX 78735-1493 | 2006-03-17 |
| 1750368510 | Andrew Alpar | Internal Medicine | 901 S. Mopac Expressway, Bldg. 1, Ste. 300, Austin, TX 78746-1143 | 2005-12-22 |
| 1164407102 | Paul C Nader | Internal Medicine | 4100 Duval Road, Building 4, Suite 102, Austin, TX 78759-4277 | 2005-12-13 |
| 1578561411 | Mark Rosen | Internal Medicine | 3000 North Ih 35, Suite 635, Austin, TX 78705-1804 | 2005-07-13 |
| 1982002903 | Alpar Nephrology Services, Md, Pa | Internal Medicine | 901 Mopac Expressway South, Building 1, Ste. 300, Austin, TX 78746-5883 | 2014-12-08 |
| 1114216009 | Ashvin Baru | Internal Medicine | 408 W 45th St, Austin, TX 78751-3014 | 2011-03-31 |
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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.