NORTH TEXAS KIDNEY DISEASE ASSOCIATES (NPI# 1154875839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154875839 |
| Entity Type | Organization |
| Organization Name | NORTH TEXAS KIDNEY DISEASE ASSOCIATES |
| Practice Address |
4708 Alliance Blvd Ste 685 Plano TX 75093 |
| Mailing Address |
3315 Colorado Blvd Suite 102 Denton TX 76210-6884 |
| Practice Telephone | 2144667230 |
| Practice Fax Number | 2144667236 |
| Mailing Telephone | 9403201708 |
| Mailing Fax Number | 9405655457 |
| Enumeration Date | 2016-08-10 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4708 Alliance Blvd, Suite 630, Plano, TX 750935340 | 2144667230 | 2144667236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1063871440 | North Texas Kidney Disease Associates | Internal Medicine | 4370 Medical Arts Dr, Suite 210, Flower Mound, TX 75028 | 2016-02-15 |
| 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 |
4708 ALLIANCE BLVD STE 685 |
| City | PLANO |
| State | TX |
| Zip Code | 75093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| 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 |
|---|---|---|---|---|
| 1205224268 | Advanced Kidney Care Pllc | Internal Medicine | 9716 Slide St, Plano, TX 75025-5862 | 2014-12-29 |
| 1427214063 | Mirza Shahrukh Baig | Internal Medicine | 4708 Alliance Blvd Ste 600, Plano, TX 75093-5368 | 2008-08-04 |
| 1235774472 | Prejith Raj Md Pllc | Internal Medicine | 6705 Shady Bend Ln, Plano, TX 75024-6088 | 2019-11-12 |
| 1285036756 | North Texas Kidney Disease Associates | Internal Medicine | 1600 Coit Rd, Bldg. 1, Suite 300, Plano, TX 75075 | 2014-09-16 |
| 1376838771 | Eyerusalem Engida Bayssa | Internal Medicine | 4708 Alliance Blvd, Ste. 835, Plano, TX 75093-5340 | 2011-06-14 |
| 1497981211 | Advanced Kidney Care of North Texas, P.l.l.c. | Internal Medicine | 4708 Alliance Blvd, Suite 600, Plano, TX 75093-5368 | 2009-06-08 |
| 1174777858 | Metroplex Nephrology Associates, Pllc | Internal Medicine | 4100 W 15th St, Suite 100, Plano, TX 75093-5803 | 2008-11-07 |
| 1740472299 | Ntkc Management, LLC | Internal Medicine | 4708 Alliance Blvd, Suite 600, Plano, TX 75093-5340 | 2007-08-17 |
| 1972642999 | Gregory Knox Stephens | Internal Medicine | 4708 Alliance Blvd, Suite 835, Plano, TX 75093-5340 | 2007-02-06 |
| 1811047665 | Neghae Mawla | Internal Medicine | 4401 Tradition Trl, Plano, TX 75093-5633 | 2007-01-12 |
| Find all providers in PLANO | ||||
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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.