SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. (NPI# 1174831945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174831945 |
| Entity Type | Organization |
| Organization Name | SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. |
| Practice Address |
343 W Houston St Suite 906 San Antonio TX 78205-2107 |
| Mailing Address |
7142 San Pedro Ave Suite 120 San Antonio TX 78216-6254 |
| Practice Telephone | 2102771011 |
| Practice Fax Number | 2102771090 |
| Mailing Telephone | 2106615622 |
| Mailing Fax Number | 2104817463 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-30 |
| Authorized Official Name | MR. CLAY ROBY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2106615622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| 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 |
343 W HOUSTON ST SUITE 906 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78205-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647691 | Richard Anthony Keh | Podiatrist | 343 W Houston St, Suite 109, San Antonio, TX 78205-2262 | 2005-05-31 |
| 1871936393 | John N.enriquez Md Pllc | Psychiatry & Neurology | 343 W Houston St, Suite 702, San Antonio, TX 78205-2107 | 2013-04-15 |
| 1184912974 | Erlinda E Belvis, M.d., P.a. | Psychiatry & Neurology | 343 W Houston St, Suite 503, San Antonio, TX 78205-2107 | 2011-07-14 |
| 1942591151 | Edulfo Gonzalez-sanchez | Psychiatry & Neurology | 343 W Houston St, Ste 807, San Antonio, TX 78205-2107 | 2011-04-21 |
| 1447563598 | Heliodoro V Boone M.d.p.a | Surgery | 343 W Houston St, 512, San Antonio, TX 78205-2107 | 2010-07-19 |
| 1205151107 | Jose R. Rebolledo,m.d.,p.a. | Pediatrics | 343 W Houston St, Suite 811, San Antonio, TX 78205-2107 | 2010-04-02 |
| 1588995609 | Hugo Castaneda Md Pa | Internal Medicine | 343 W Houston St, Suite 310, San Antonio, TX 78205-2107 | 2010-01-29 |
| 1316277270 | Ernesto Hernandez Md Pa | Obstetrics & Gynecology | 343 W Houston St, #312, San Antonio, TX 78205-2107 | 2009-12-28 |
| 1295064780 | R. Bala, M.d. P. A. | Surgery | 343 W Houston St, Suite 1002, San Antonio, TX 78205-2268 | 2009-12-14 |
| 1477886497 | Usrc Downtown San Antonio LLC | Clinic/Center | 343 W Houston St, Ste 209, San Antonio, TX 78205-2107 | 2009-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862947 | Xeras Medical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 315 E. Commerce Street Suite 203, San Antonio, TX 78205 | 2019-10-13 |
| 1538631676 | Olga Skirda | Physician Assistant | 610 North Main Avenue, San Antonio, TX 78205 | 2018-12-31 |
| 1508381757 | Davis Vision Inc | Eyewear Supplier (Equipment, not the service) | 175 E Houston, San Antonio, TX 78205 | 2017-08-09 |
| 1841647138 | Karen Tanguma | Counselor | 700 North St. Mary's Street, Suite 1400, San Antonio, TX 78205 | 2016-05-17 |
| 1346652500 | Lone Star Script Care LLC | Case Management | 310 S. S Mary's St, 1290, San Antonio, TX 78205 | 2014-05-22 |
| 1821227919 | Teresa Yanhong Chen | Optometrist | 175 East Houston St, Visionworks, San Antonio, TX 78205 | 2009-07-09 |
| 1164650735 | Mark Joseph Trevino | Ophthalmology | 414 Navarro St Ste 400, San Antonio, TX 78205 | 2009-06-23 |
| 1386882520 | Nicolas A. Melgarejo | Internal Medicine | 343 W. Houston St., Suite #808, San Antonio, TX 78205 | 2009-01-26 |
| 1518135904 | Khan Z Shirani | Emergency Medicine | 414 Navarro St Ste 500, San Antonio, TX 78205 | 2008-02-19 |
| 1619076700 | Candace Lynese Bellamy | Family Medicine | 221 3rd St. West, San Antonio, TX 78205 | 2006-09-22 |
| Find all providers in zip 78205 | ||||
| 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 | 78205 |
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.