JEFFERSON NEPHROLOGY, LTD (NPI# 1174502413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174502413 |
| Entity Type | Organization |
| Organization Name | JEFFERSON NEPHROLOGY, LTD |
| Practice Address |
675 Peter Jefferson Pkwy Suite 140 Charlottesville VA 22911-8618 |
| Mailing Address |
Po Box 1583 Charlottesville VA 22902-1583 |
| Practice Telephone | 4342956374 |
| Practice Fax Number | 4342934990 |
| Mailing Telephone | 4346547794 |
| Mailing Fax Number | 4346547752 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2013-10-28 |
| Authorized Official Name | KEVIN R. MCCONNELL (OWNER) |
| Authorized Official Telephone | 4342956374 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
675 PETER JEFFERSON PKWY SUITE 140 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911-8618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922465830 | Luis Carrera | Nurse Practitioner | 675 Peter Jefferson Pkwy, Suite 300, Charlottesville, VA 22911-8618 | 2016-01-22 |
| 1699170985 | Tms Neurohealth Centers Charlottesville LLC | Clinic/Center | 675 Peter Jefferson Pkwy, Suite 210, Charlottesville, VA 22911-8618 | 2014-10-29 |
| 1093135162 | Claire Stephenson Flansburg | Psychologist | 675 Peter Jefferson Pkwy, Suite 130, Charlottesville, VA 22911-8618 | 2014-04-16 |
| 1033313572 | Evelyn Frazier | Pediatrics | 675 Peter Jefferson Pkwy, Suite 130, Charlottesville, VA 22911-8618 | 2007-06-11 |
| 1306915947 | Angela R Stiltner | Family Medicine | 675 Peter Jefferson Pkwy, Suite 300, Charlottesville, VA 22911 | 2006-11-07 |
| 1184719171 | Hospice of The Piedmont, Inc. | Hospice Care, Community Based | 675 Peter Jefferson Pkwy, Suite 300, Charlottesville, VA 22911-8618 | 2006-10-04 |
| 1285695981 | Sarah P Lewis | Social Worker | 675 Peter Jefferson Pkwy, Suite 130, Charlottesville, VA 22911-8618 | 2006-03-31 |
| 1770562811 | Albemarle Cardiology, Plc | Internal Medicine | 675 Peter Jefferson Pkwy, Suite 270, Charlottesville, VA 22911-8618 | 2006-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| 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 |
|---|---|---|---|---|
| 1770858847 | Amanda D. Renaghan | Internal Medicine | 199 Spotnap Rd Ste 1, Charlottesville, VA 22911-8827 | 2012-03-21 |
| 1275720559 | Martha Jefferson Medical Group LLC | Internal Medicine | 590 Peter Jefferson Pkwy Ste 300, Charlottesville, VA 22911-4628 | 2007-10-01 |
| 1679618763 | Mark D. Okusa | Internal Medicine | The Kidney Center Uva Hospital W, Hospital Drive, 5th Floor, Charlottesville, VA 22908-0001 | 2007-02-20 |
| 1114345162 | Corey Cavanaugh | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2014-04-06 |
| 1760822704 | Jeanne Kamal | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903 | 2013-07-03 |
| 1710266259 | Samuel Aaron Lazoff | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2011-08-15 |
| 1831400696 | Shabnum Haleem | Internal Medicine | 500 Martha Jefferson Dr Fl 5, Charlottesville, VA 22911 | 2010-06-27 |
| 1730310608 | Anjushree Kumar | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22908-3376 | 2009-07-27 |
| 1659519932 | Uta Erdbruegger | Internal Medicine | 650 Peter Jefferson Pkwy Ste 290, Charlottesville, VA 22911-8848 | 2009-01-26 |
| 1811156649 | Brendan T. Bowman | Internal Medicine | 4 Hospital Dr, Charlottesville, VA 22908-0001 | 2008-06-06 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
Please comment or provide details below to improve the information on JEFFERSON NEPHROLOGY, LTD.
| 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.