NEPHROLOGY ASSOCIATES, INC (NPI# 1457430134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457430134 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY ASSOCIATES, INC |
| Practice Address |
58 16th St Suite 500 Wheeling WV 26003-3660 |
| Practice Telephone | 3042427751 |
| Practice Fax Number | 3042427254 |
| Mailing Telephone | 3042427751 |
| Mailing Fax Number | 3042427254 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-03-06 |
| Authorized Official Name | DR. DERRICK LOUIS LATOS (PRESIDENT) |
| Authorized Official Telephone | 3042427751 |
| 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 |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0646519 | 05 | |
| WV | 0006175000 | 05 |
| Street Address |
58 16TH ST SUITE 500 |
| City | WHEELING |
| State | WV |
| Zip Code | 26003-3660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687558 | William Carl Mercer | Family Medicine | 58 16th St, Fl 3, Wheeling, WV 26003-3660 | 2005-05-24 |
| 1871060343 | Marissa Duplaga | Nurse Practitioner | 58 16th St, Wheeling, WV 26003-3660 | 2018-11-01 |
| 1265943419 | Breana Michelle Burkhart | Nurse Practitioner | 58 16th St, Wheeling, WV 26003-3660 | 2017-10-16 |
| 1427505668 | Amy Rapp | Nurse Practitioner | 58 16th St, Wheeling, WV 26003-3660 | 2016-09-06 |
| 1437500469 | Marissa Linn Jovicic | Nurse Practitioner | 58 16th St, Wheeling, WV 26003-3660 | 2016-06-30 |
| 1538514070 | Lauren Ashley Hill | Registered Nurse | 58 16th St, Wheeling, WV 26003-3660 | 2016-05-03 |
| 1699132696 | Wheeling Hospital, Inc. | Internal Medicine | 58 16th St, Wheeling, WV 26003-3660 | 2016-01-21 |
| 1033498175 | Katarzyna A Przyszlak | Family Medicine | 58 16th St, Wheeling, WV 26003-3660 | 2011-08-08 |
| 1265726087 | Paul C Weigel | Counselor | 58 16th St, Wheeling, WV 26003-3660 | 2011-06-09 |
| 1215239744 | Gregory Arturo Suero Abreu | Internal Medicine | 58 16th St, Wheeling, WV 26003-3660 | 2010-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070538 | Ashley Lynn Fleming | Case Manager/Care Coordinator | 442 Woodland Acres Rd, Wheeling, WV 26003 | 2020-10-13 |
| 1982202057 | Tiffany Renee Beck | Behavioral Analyst | 1007 Market Street, Wheeling, WV 26003 | 2020-10-12 |
| 1922620426 | Abbey Lynne Griffith | Speech-Language Pathologist | 199 Co Rd 7/7, Jane Lew, WV 26003 | 2020-05-07 |
| 1801309414 | Amy Wade | Counselor | 2204 Eoff Street, Wheeling, WV 26003 | 2017-11-06 |
| 1053840157 | Syl Solution Marketing | Durable Medical Equipment & Medical Supplies | 800 Hazlett Ave, Wheeling, WV 26003 | 2017-06-12 |
| 1568917334 | Hamed M Motlagh | Dentist | 53 14th St Ste 208, Wheeling, WV 26003 | 2016-08-22 |
| 1922454446 | Carrie Ann Warman | Pharmacist | 200 Mt.dechantal Road, Wheeling, WV 26003 | 2016-05-13 |
| 1447636691 | Ashley M Zando | Nurse Anesthetist, Certified Registered | 109 Mt Wood Road, Wheeling, WV 26003 | 2015-08-10 |
| 1194126441 | John Greaves | Specialist/Technologist | 135 Springdale Ave, Wheeling, WV 26003 | 2014-09-05 |
| 1154747210 | Donald Lee Rebich | Pharmacist | 61-29th Street, Wheeling, WV 26003 | 2014-03-13 |
| Find all providers in zip 26003 | ||||
| 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 |
|---|---|---|---|---|
| 1740536077 | Shikha Jaiswal | Internal Medicine | 58 16th St Ste 500, Wheeling, WV 26003-3660 | 2012-07-24 |
| 1417205493 | Jennifer Tanya Suders | Internal Medicine | 58 16th St Ste 500, Wheeling, WV 26003-3660 | 2012-08-22 |
| 1750342341 | Thomas G Kenamond | Internal Medicine | 58 16th St, Suite 500, Wheeling, WV 26003-3660 | 2006-03-31 |
| 1316908627 | Marion H Drews Jr. | Internal Medicine | 58 16th St, Suite 500, Wheeling, WV 26003-3660 | 2006-03-29 |
| 1962463273 | Derrick L Latos | Internal Medicine | 58 16th St, Suite 500, Wheeling, WV 26003-3660 | 2006-03-29 |
| 1013978220 | Marnie J Marker | Internal Medicine | 58 16th St, Suite 500, Wheeling, WV 26003-3660 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801321781 | Melissa Kitchen | Internal Medicine | 300 Prosperity Ln Ste 203, Logan, WV 25601-3743 | 2017-04-27 |
| 1598118820 | Muhammad Omar Saleem | Internal Medicine | 4825 Maccorkle Ave Sw Ste A, South Charleston, WV 25309-1365 | 2016-07-21 |
| 1639552615 | Manzar Hussain | Internal Medicine | 2345 Chesterfield Ave Ste 301, Charleston, WV 25304-1064 | 2015-07-08 |
| 1528476215 | Gayatri Lessey | Internal Medicine | 4610 Kanawha Ave Sw Ste 402, South Charleston, WV 25309 | 2014-07-26 |
| 1548515505 | Kavita K Wei | Internal Medicine | 1004 Sushruta Dr Ste A, Martinsburg, WV 25401-8801 | 2012-07-16 |
| 1295905610 | Kidney Associates Pllc | Internal Medicine | 8152-b Court Avenue, Hamlin, WV 25523 | 2008-03-03 |
| 1558576454 | Staci Charlene Smith | Internal Medicine | 2828 1st Ave Ste 204, Huntington, WV 25702-1236 | 2007-05-14 |
| 1386709970 | Abbas Yousef El-khatib | Internal Medicine | 296 New Hope Rd Ste 2, Princeton, WV 24740-2262 | 2006-12-26 |
| 1972548618 | Jeffery F Addison | Internal Medicine | 331 Laidley St Ste 307, Charleston, WV 25301-1605 | 2006-06-17 |
| 1760426068 | Ahmad B Faridi | Internal Medicine | 300 Prosperity Lane, Suite 203, Logan, WV 25601 | 2006-06-16 |
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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.