COORDINATED KIDNEY CARE GROUP, INC. (NPI# 1407044308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407044308 |
| Entity Type | Organization |
| Organization Name | COORDINATED KIDNEY CARE GROUP, INC. |
| Practice Address |
1 Nolte Dr Bldg 700 Kittanning PA 16201-7111 |
| Mailing Address |
Po Box 1001 Kittanning PA 16201-5001 |
| Practice Telephone | 7245481395 |
| Mailing Telephone | (724) 548-1395 |
| Mailing Fax Number | 7245481396 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2017-05-26 |
| Authorized Official Name | C. ROSS BETTS (PHYSICIAN) |
| Authorized Official Telephone | 7245481395 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD045564E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1 NOLTE DR BLDG 700 |
| City | KITTANNING |
| State | PA |
| Zip Code | 16201-7111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275883415 | Amith Roy Shamir | Internal Medicine | 1 Nolte Dr Bldg 700, Kittanning, PA 16201-7111 | 2012-09-14 |
| 1881824613 | Smitha Thomas-mathew | Internal Medicine | 1 Nolte Dr Bldg 700, Kittanning, PA 16201-7111 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962997916 | Kristin E Smiley | Family Medicine | 300 Medical Arts Bldg Ste 300, Kittanning, PA 16201 | 2018-06-22 |
| 1699285767 | Sabrina Streightif | Counselor | 365 Franklin Hill Road, Kittanning, PA 16201 | 2017-10-03 |
| 1659776193 | Viecare Armstrong, LLC | PACE Provider Organization | 115 Nolte Drive Ext, Kittanning, PA 16201 | 2014-10-27 |
| 1255416996 | Robert P. Bartek | Psychologist | 508 Pittsburgh St., Suite 102, Mars, PA 16201 | 2006-10-25 |
| 1871694935 | Gari Lynn Worley | Internal Medicine | 198 Westgate Drive, Suite 101 A, Rittanning, PA 16201 | 2006-09-25 |
| 1467461681 | Francesco R Turco | Dentist | 111 1st Ave, Kittanning, PA 16201 | 2006-08-05 |
| 1871533141 | Armstrong Outpatient Imaging LLC | Radiology | 87 Glade Drive, Kittanning, PA 16201 | 2006-06-07 |
| 1942268891 | Michele Lee Mikolajczak | Emergency Medicine | One Nolte Drive, Armstrong County Memorial Hospital, Kittanning, PA 16201 | 2006-05-02 |
| 1023523974 | Samantha Dinger | Speech-Language Pathologist | 265 S Mckean St, Kittanning, PA 16201 | 2017-12-13 |
| 1861910564 | Anne Brady Romaniw | Occupational Therapist | 11931 State Route 85, Kittanning, PA 16201 | 2017-09-01 |
| Find all providers in zip 16201 | ||||
| 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 |
|---|---|---|---|---|
| 1275883415 | Amith Roy Shamir | Internal Medicine | 1 Nolte Dr Bldg 700, Kittanning, PA 16201-7111 | 2012-09-14 |
| 1881824613 | Smitha Thomas-mathew | Internal Medicine | 1 Nolte Dr Bldg 700, Kittanning, PA 16201-7111 | 2009-07-14 |
| 1124014634 | Charles R Betts | Internal Medicine | 1 Nolte Dr, Suite 150, Kittanning, PA 16201-7111 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1437790482 | Pinnacle Health Medical Services | Internal Medicine | 205 S Front St Fl 8, Harrisburg, PA 17104-1619 | 2019-10-01 |
| 1255983615 | Mujahed Maher Dauleh | Internal Medicine | 500 University Dr # H040, Hershey, PA 17033-2360 | 2019-07-15 |
| 1578124038 | Ali Arif | Internal Medicine | 245 N 15th St Ste 6144, Philadelphia, PA 19102-1101 | 2019-06-25 |
| 1245893270 | Nikita Igorevich Neverov | Internal Medicine | 501 Howard Ave Ste D204, Altoona, PA 16601-4814 | 2019-04-16 |
| 1831682707 | Aravind Cherukuri | Internal Medicine | 3550 Terrace Street A919 Scafie Hall, Pittsburgh, PA 15261-0001 | 2018-06-14 |
| 1144731100 | Muhammad Owais Hanif | Internal Medicine | 245 N. 15th St, Ms 437, 6th Floor Ncb, Philadelpha, PA 19102 | 2017-10-18 |
| 1285157917 | Mhd Said Al Zein | Internal Medicine | 1001 E 2nd St Ste E, Coudersport, PA 16915-8161 | 2017-07-25 |
| 1073068284 | Awais Ammar | Internal Medicine | 415 Limekiln Dr Unit A, Chambersburg, PA 17201-4510 | 2016-08-17 |
| 1710344171 | Nina Stuccio | Internal Medicine | 410 S Front St Unit 215, Philadelphia, PA 19147-1708 | 2016-01-15 |
| Find all providers with the same taxonomy | ||||
| City | KITTANNING |
| Zip Code | 16201 |
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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.