EASTSIDE KIDNEY CONSULTANTS, PLLC (NPI# 1487937850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487937850 |
| Entity Type | Organization |
| Organization Name | EASTSIDE KIDNEY CONSULTANTS, PLLC |
| Practice Address |
3900 Junius St Suite 615 Dallas TX 75246-1615 |
| Practice Telephone | 9723885970 |
| Practice Fax Number | 9723885971 |
| Mailing Telephone | 9723885970 |
| Mailing Fax Number | 9723885971 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Authorized Official Name | CHRISTOPHER A HEBERT (OWNER) |
| Authorized Official Telephone | 9723885970 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
3900 JUNIUS ST SUITE 615 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952300022 | John C Obrien Jr. | Surgery | 3900 Junius St, Suite 145, Dallas, TX 75246-1615 | 2005-07-20 |
| 1538548177 | North Star Mcd, LLC | Clinic/Center | 3900 Junius St, Suite 705, Dallas, TX 75246-1615 | 2015-05-28 |
| 1245618966 | Grant Sun | Student in an Organized Health Care Education/Training Program | 3900 Junius St, Dallas, TX 75246-1615 | 2015-05-14 |
| 1275932451 | Jennifer Elkins | Physician Assistant | 3900 Junius St, Suite 500, Dallas, TX 75246-1615 | 2014-08-14 |
| 1639501596 | Mitesh Jagdish Patel | Physician Assistant | 3900 Junius St, Suite 605, Dallas, TX 75246-1615 | 2013-08-02 |
| 1982042305 | Btdi Jv LLP | Physiological Laboratory | 3900 Junius St, Ste 100, Dallas, TX 75246-1615 | 2013-06-07 |
| 1891036588 | Baylor University Medical Center | Clinic/Center | 3900 Junius St, Suite 100, Dallas, TX 75246-1615 | 2013-03-06 |
| 1689931677 | Ashton Brooke Want | Physician Assistant | 3900 Junius St, Suite 500, Dallas, TX 75246-1615 | 2012-04-16 |
| 1851666861 | Healthtexas Provider Network | Durable Medical Equipment & Medical Supplies | 3900 Junius St, Suite 500, Dallas, TX 75246-1615 | 2012-03-09 |
| 1790076867 | Kimberly Chachere Coker | Speech-Language Pathologist | 3900 Junius St, Suite 230, Dallas, TX 75246-1615 | 2011-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| 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 |
|---|---|---|---|---|
| 1013424860 | Farahat and Associates Pllc | Internal Medicine | 7475 La Vista Dr Apt 1834, Dallas, TX 75214-4132 | 2018-01-02 |
| 1205199619 | Muthanna Mohammad Saraireh | Internal Medicine | 3600 Gaston Ave Ste 904, Dallas, TX 75246-1809 | 2012-06-20 |
| 1053686121 | Lucile Parker Gregg | Internal Medicine | Ut Southwestern Medical Center Nephrology, 5323 Harry Hines Blvd, Dallas, TX 75390-8516 | 2012-03-21 |
| 1164791398 | Kidney and Hypertension Associates of Dallas Pllc | Internal Medicine | 3900 Junius St Ste 615, Dallas, TX 75246-1615 | 2011-12-16 |
| 1548573587 | Mamatha Racheruvu | Internal Medicine | 3571 W Wheatland Rd # 101, Dallas, TX 75237-3461 | 2010-07-20 |
| 1689994956 | Paul Cespedes | Internal Medicine | 7777 Forest Ln Ste C865, Dallas, TX 75230 | 2010-06-09 |
| 1447492756 | Ntkc Management, LLC | Internal Medicine | 3900 Junius Street, Suite 615, Dallas, TX 75246 | 2009-04-01 |
| 1407055155 | Ala'a Farahat | Internal Medicine | 3822 Brown St, Dallas, TX 75219-4014 | 2007-07-13 |
| 1295856003 | Kamalanthan Kolandavelu Sambandam | Internal Medicine | 5939 Harry Hines Suite 700, Dallas, TX 75390 | 2007-04-02 |
| 1033268354 | Soon Chao S Ong | Internal Medicine | 5050 Quorum Dr Ste 700, Dallas, TX 75254-1410 | 2007-01-09 |
| Find all providers in DALLAS | ||||
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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.