NTKC MANAGEMENT, LLC (NPI# 1457543902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457543902 |
| Entity Type | Organization |
| Organization Name | NTKC MANAGEMENT, LLC |
| Other Organization Name | NORTH TEXAS KIDNEY CONSULTANTS |
| Practice Address |
1049 Clifton St Fort Worth TX 76107-2628 |
| Mailing Address |
3030 Matlock Rd Suite 205 Arlington TX 76015-2935 |
| Practice Telephone | 8178709941 |
| Practice Fax Number | 8178700044 |
| Mailing Telephone | 8173750610 |
| Mailing Fax Number | 8173750640 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |
| Authorized Official Name | MR. DAN BACCUS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8173750610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Texas Kidney Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447492756 | Ntkc Management, LLC | Internal Medicine | 3900 Junius Street, Suite 615, Dallas, TX 75246 | 2009-04-01 |
| 1063654515 | Ntkc Management, LLC | Internal Medicine | 805 Hill Blvd, Suite 102, Granbury, TX 76048-1481 | 2009-03-30 |
| 1891948683 | Ntkc Management, LLC | Internal Medicine | 1601 Lancaster Dr, Suite 20c, Grapevine, TX 76051-2109 | 2008-10-24 |
| 1376735829 | Ntkc Management, LLC | Internal Medicine | 1600 W College St, Suite 410, Grapevine, TX 76051-3580 | 2007-08-17 |
| 1083806533 | Ntkc Management, LLC | Internal Medicine | 4351 Booth Calloway Rd, Suite 404, North Richland Hills, TX 76180-7378 | 2007-08-17 |
| 1740472299 | Ntkc Management, LLC | Internal Medicine | 4708 Alliance Blvd, Suite 600, Plano, TX 75093-5340 | 2007-08-17 |
| 1518159052 | Ntkc Management, LLC | Internal Medicine | 3515 Swiss Ave, Second Floor, Dallas, TX 75204-6223 | 2007-08-17 |
| 1598957037 | Ntkc Management, LLC | Internal Medicine | 530 Clara Barton Blvd, Suite 200, Garland, TX 75042-5703 | 2007-08-17 |
| 1588856033 | Ntkc Management, LLC | Internal Medicine | 601 Westpark Way, Euless, TX 76040-3972 | 2007-08-17 |
| 1790977411 | Ntkc Management, LLC | Internal Medicine | 3030 Matlock Rd, Suite 205, Arlington, TX 76015-2935 | 2007-08-16 |
| Street Address |
1049 CLIFTON ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| 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 |
|---|---|---|---|---|
| 1487070751 | Texas Health Care, P.l.l.c. | Internal Medicine | 6100 Harris Pkwy Ste 260, Fort Worth, TX 76132-4101 | 2014-03-11 |
| 1740539196 | Muhammad Omar Azam | Internal Medicine | 711 Pennsylyvania Ave, Fort Worth, TX 76104222 | 2012-08-30 |
| 1003143165 | Texas Health Care, P.l.l.c. | Internal Medicine | 508 South Adams, Suite 102, Fort Worth, TX 76104-2151 | 2009-11-11 |
| 1548449663 | Fysal Albaalbaki | Internal Medicine | 508 South Adams, Suite 102, Fort Worth, TX 76104-2151 | 2007-10-25 |
| 1184739849 | Thomas Rajan | Internal Medicine | 1634 Mistletoe Blvd, Fort Worth, TX 76104-4012 | 2006-08-20 |
| 1932116902 | Nishant B Jalandhara | Internal Medicine | 4420 Heritage Trace Pkwy Ste 312, Fort Worth, TX 76244-8904 | 2006-08-02 |
| 1700891579 | Raghuveer Vanguru | Internal Medicine | 10700 Victoria Ash Dr, Fort Worth, TX 76244-6392 | 2006-07-30 |
| 1205869773 | Carlos S Bahrami | Internal Medicine | 508 S Adams St Ste 102, Fort Worth, TX 76104-2151 | 2006-07-08 |
| 1184669673 | Clinical Nephrology Associates, Pa | Internal Medicine | 1700 Mistletoe Blvd, Fort Worth, TX 76104-4042 | 2006-06-18 |
| 1740220433 | Rajesh K Davda | Internal Medicine | 950 W Magnolia Ave, Fort Worth, TX 76104 | 2006-06-08 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
Please comment or provide details below to improve the information on NTKC MANAGEMENT, LLC.
| 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.