SOUTHWESTERN NEPHROLOGY INC (NPI# 1609804210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609804210 |
| Entity Type | Organization |
| Organization Name | SOUTHWESTERN NEPHROLOGY INC |
| Practice Address |
764 Locust Ave Washington PA 15301-2756 |
| Practice Telephone | 7242281303 |
| Practice Fax Number | 7242281513 |
| Mailing Telephone | 7242281303 |
| Mailing Fax Number | 7242281513 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SUBRAMONIAN JAYKUMAR (OWNER) |
| Authorized Official Telephone | 7242281303 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD035880L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0009503000 | 05 | |
| OH | 0181888 | 05 |
| Street Address |
764 LOCUST AVE |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326037979 | Subramoniam Jayakumar | Internal Medicine | 764 Locust Ave, Washington, PA 15301-2756 | 2005-10-17 |
| 1376082883 | Whs Nephrology | Internal Medicine | 764 Locust Ave, Washington, PA 15301-2756 | 2017-02-16 |
| 1922461052 | Matthew Magdic | Nurse Practitioner | 764 Locust Ave, Washington, PA 15301-2756 | 2016-04-05 |
| 1508170937 | Total Renal Care Inc | Clinic/Center | 764 Locust Ave, Washington, PA 15301-2756 | 2010-07-27 |
| 1023294469 | Washington Dialysis Clinic, Inc. | Internal Medicine | 764 Locust Ave, Washington, PA 15301-2756 | 2008-01-16 |
| 1407946510 | Shirley Jayakumar Dopson | Internal Medicine | 764 Locust Ave, Washington, PA 15301-2756 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| 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 |
|---|---|---|---|---|
| 1619453388 | Suvi Bhubendra Rasaiah | Internal Medicine | 106 Irving St Nw Ste 201, Washington, DC 20010-2993 | 2018-07-16 |
| 1740691054 | Divya Shankaranarayanan | Internal Medicine | 2150 Pennsylvania Ave Nw Ste 3-438, Washington, DC 20037-3201 | 2014-05-09 |
| 1285075218 | Ziad Alkhouri | Internal Medicine | 730 24th St Nw Ste 17, Washington, DC 20037-2543 | 2013-07-05 |
| 1649478462 | Roopali Gupta | Internal Medicine | 110 Irving St Nw Ste Nw # 2a-70, Washington, DC 20010-2976 | 2007-07-03 |
| 1205045010 | Malcolm C. Cox | Internal Medicine | Of Veterans Affairs Offfice of Academic Affili, 810 Vermont Ave., Nw, Washington, DC 20420-0001 | 2007-05-21 |
| 1881782464 | Stephen Wayne Olson | Internal Medicine | Walter Reed Army Medical Center 6900 Georgia Ave, Washington, DC 20307-0001 | 2006-10-10 |
| 1285731620 | Fred Irwin Polsky | Internal Medicine | 4100 Cathedral Ave Nw, Apt. Ph-16, Washington, DC 20016-3584 | 2006-09-20 |
| 1700807674 | Serban A Dragoi | Internal Medicine | 3800 Reservoir Rd Nw # 6-phc, Washington, DC 20007-2113 | 2006-07-23 |
| 1902835028 | Vascular Access Center of Washington Dc, LLC | Internal Medicine | 1010 Vermont Ave Nw, Suite 300, Washington, DC 20005-4902 | 2006-07-01 |
| 1821042359 | Violet Habwe | Internal Medicine | 730 24th Street Nw, Suite 17, Washington, DC 20037 | 2006-05-20 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
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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.