KIDNEY AND HYPERTENSION CENTER OF INDIANA, PC (NPI# 1386691459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386691459 |
| Entity Type | Organization |
| Organization Name | KIDNEY AND HYPERTENSION CENTER OF INDIANA, PC |
| Practice Address |
3740 S 4th St Terre Haute IN 47802-5507 |
| Practice Telephone | 8122323900 |
| Practice Fax Number | 8122323955 |
| Mailing Telephone | 8122323900 |
| Mailing Fax Number | 8122323955 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-11-19 |
| Authorized Official Name | SHERIF ELASSAL (OWNER) |
| Authorized Official Telephone | 8122323900 |
| 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 |
01052996A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
3740 S 4TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-5507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346503737 | Steve Marlow, PC | Psychologist | 3740 S 4th St, Terre Haute, IN 47802-5507 | 2012-06-20 |
| 1770853855 | Joseph W Bergeron, M.d., P.C. | Physical Medicine & Rehabilitation | 3740 S 4th St, Terre Haute, IN 47802-5507 | 2012-01-06 |
| 1316985179 | Roger B Bailey | Pain Medicine | 3740 S 4th St, Terre Haute, IN 47802-5507 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| 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 |
|---|---|---|---|---|
| 1497729818 | Manish Gera | Internal Medicine | 1625 N 4th St, Terre Haute, IN 47804-4067 | 2006-02-14 |
| 1396182788 | Kidney and Hypertension Center of Wabash Valley, LLC | Internal Medicine | 1801 N 6th St, Suite # 200, Terre Haute, IN 47804-4086 | 2013-05-27 |
| 1730201096 | Kumar Gaurav | Internal Medicine | 1801 N 6th St, Suite # 200, Terre Haute, IN 47804-4086 | 2007-04-05 |
| 1083662779 | Internal Medicine Nephrology, Inc. | Internal Medicine | 1625 N 4th St, Terre Haute, IN 47804-4067 | 2006-05-04 |
| 1851349682 | Raj Jeevan | Internal Medicine | 1625 N 4th St, Terre Haute, IN 47804-4067 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225684368 | Fort Wayne Vascular Care LLC | Internal Medicine | 1833 Magnavox Way # 100, Fort Wayne, IN 46804-1539 | 2019-08-14 |
| 1952962516 | Rafael Juan Igartua | Internal Medicine | 1450 Solemar Dr, West Lafayette, IN 47906-8867 | 2019-06-25 |
| 1215463955 | William Louis Macias | Internal Medicine | 9129 Log Run Dr S, Indianapolis, IN 46234-1343 | 2017-05-01 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1679924013 | Peter Eloho Umukoro | Internal Medicine | 950 W Walnut St Rm 202, Indianapolis, IN 46202 | 2016-06-27 |
| 1124423546 | Beacon Medical Group, Inc. | Internal Medicine | 100 Navarre Pl Ste 4400, South Bend, IN 46601-1100 | 2014-10-28 |
| 1619309317 | Kevin Joseph Lavelle | Internal Medicine | 621 First Ave. N.e., Carmel, IN 46032 | 2013-08-05 |
| 1215270897 | Lori Wanko | Internal Medicine | 8205 E 56th St Ste 250, Indianapolis, IN 46216-1097 | 2013-04-01 |
| 1326319724 | Robert Wayne Dettmer | Internal Medicine | 2935 Ambleside Way, Fort Wayne, IN 46804-2443 | 2012-01-18 |
| 1265747703 | Yasser Aldurra | Internal Medicine | 8330 Naab Rd Ste 234, Indianapolis, IN 46260-1932 | 2010-08-09 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
Please comment or provide details below to improve the information on KIDNEY AND HYPERTENSION CENTER OF INDIANA, PC.
| 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.