ADVANCED KIDNEY SPECIALISTS PC (NPI# 1558480590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558480590 |
| Entity Type | Organization |
| Organization Name | ADVANCED KIDNEY SPECIALISTS PC |
| Practice Address |
2782 N Highland Ave Suite D Jackson TN 38305-1798 |
| Practice Telephone | 7319848390 |
| Practice Fax Number | 7319848392 |
| Mailing Telephone | 7319848390 |
| Mailing Fax Number | 7319848392 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHYAMAL SARKAR (OWNER) |
| Authorized Official Telephone | 7319848390 |
| 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 |
2782 N HIGHLAND AVE SUITE D |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-1798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004688 | Kevin Tyler Scott | Chiropractor | 2782 N Highland Ave, Ste C, Jackson, TN 38305-1797 | 2005-06-27 |
| 1962574038 | Alexander T Luy | Physical Therapist | 2782 N Highland Ave, Suite A, Jackson, TN 38305-1798 | 2006-11-14 |
| 1841247418 | Physical Therapy of Jackson PC. | Clinic/Center | 2782 N Highland Ave, Suite A, Jackson, TN 38305-1798 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| 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 |
|---|---|---|---|---|
| 1942813506 | Uma Mahesh Reddy Avula | Internal Medicine | 2500 N State St Rm L-504, Jackson, MS 39216-4500 | 2020-08-24 |
| 1649555467 | Cardiac Renal & Vascular Associates PC | Internal Medicine | 5240 Robinson Road Ext, Jackson, MS 39204-4276 | 2011-10-12 |
| 1821151598 | Kavita Luthra | Internal Medicine | 900 E Michigan Ave Ste 104, Jackson, MI 49201-2490 | 2006-12-18 |
| 1801971908 | Murphy S Martin | Internal Medicine | 1513 Lakeland Drive, Suite 200, Jackson, MS 39216 | 2006-10-26 |
| 1033124904 | Sybil F Raju | Internal Medicine | 1400 Woodrow Wilson Avenue, Va Hospital, Jackson, MS 39216 | 2006-07-29 |
| 1568489417 | Nosratollah Ghaemmaghami | Internal Medicine | 381 Medical Drive, Jackson, MS 39216 | 2006-07-16 |
| 1629007406 | Kent Alan Kirchner | Internal Medicine | 1500 E. Woodrow Wilson Blvd, Jackson, MS 39216-5199 | 2006-07-02 |
| 1912519364 | Rashmi Verma | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-18 |
| 1457844599 | Kidney & Hypertension Specialists of Jackson Piketon and Chillicothe L | Internal Medicine | 3 Acy Ave, Jackson, OH 45640-9561 | 2018-06-13 |
| 1104331511 | Aldo Torres | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2017-12-07 |
| Find all providers in JACKSON | ||||
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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.