NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC (NPI# 1679533012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679533012 |
Entity Type | Organization |
Organization Name | NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC |
Other Organization Name | DAVITA NEPHROLOGY PARTNERS |
Practice Address |
880 E 3900 S Ste B Salt Lake City UT 84107-2151 |
Mailing Address |
Po Box 2355 Tacoma WA 98401 |
Practice Telephone | 8012681296 |
Practice Fax Number | 8012680340 |
Mailing Telephone | 8003104872 |
Mailing Fax Number | 8773284923 |
Enumeration Date | 2006-03-27 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. GARY WILLIAM BELL (VICE PRESIDENT & CONTROLLER) |
Authorized Official Telephone | 8003104872 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | W0522 | 05 |
Other Name | Type Code |
---|---|
DaVita Nephrology Partners | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093775645 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 1050 W Elm St, Ste 160, Hermiston, OR 97838 | 2006-03-27 |
1285694836 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 1627 Cole Blvd Bldg 18, Lakewood, CO 80401-3315 | 2006-03-27 |
1740706951 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 334 Smith Ave, Thomasville, GA 31792-5533 | 2017-08-18 |
1790125078 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 2216 Nw 40th Ter, Gainesville, FL 32605-3573 | 2013-07-01 |
1689827370 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 638 N Webb Rd, Suite B, Grand Island, NE 68803-4057 | 2008-10-28 |
1285674515 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 307 N 46th St, Lincoln, NE 68503-3714 | 2006-06-07 |
1841230174 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30045-7418 | 2006-06-07 |
1760442107 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 6 Jungermann Circle, Ste 215, Saint Peters, MO 63376-1626 | 2006-03-27 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Nephrology Medical Associates of Georgia LLC | 2000 16th St, Denver, Colorado 80202 |
Street Address |
880 E 3900 S STE B |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84107-2151 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134639487 | James A Seay | Massage Therapist | 880 E 3900 S, Salt Lake City, UT 84107-2151 | 2017-09-30 |
1467996710 | Cc Natural Medicine, LLC | Clinic/Center | 880 E 3900 S, Salt Lake City, UT 84107-2151 | 2016-12-06 |
1356581995 | Shannon Marie Parisi | Chiropractor | 880 E 3900 S, Salt Lake City, UT 84107-2151 | 2009-02-23 |
1962680520 | Marcia Whitaker | Dietitian, Registered | 880 E 3900 S, Salt Lake City, UT 84107-2151 | 2008-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
Find all providers in zip 84107 |
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 |
---|---|---|---|---|
1952560351 | Aylin Rachel Rodan | Internal Medicine | 85 Medical Dr, Room 223, Salt Lake City, UT 84112-1100 | 2008-06-02 |
1578761003 | Hasan Joseph Salameh | Internal Medicine | 650 E 4500 S Ste 210, Salt Lake City, UT 84107-4520 | 2007-07-05 |
1801824438 | Sey M Lau | Internal Medicine | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2006-06-30 |
1477555696 | Yaw Ababio Boateng | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2005-06-01 |
1861885022 | University of Utah Adult Services | Internal Medicine | 85 Medical Dr, 201, Salt Lake City, UT 84112-1100 | 2015-03-12 |
1750785556 | University of Utah Adult Services | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
1508182437 | Tahir Zaman | Internal Medicine | 1250 E 3900 S Ste 410, Salt Lake City, UT 84124-1364 | 2010-04-16 |
1649417718 | Andrea Marie Nelson | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2009-01-12 |
1780833889 | Monique Eun Hee Cho | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2008-09-12 |
1912168345 | Landon Dickson | Internal Medicine | 650 E 4500 S, Ste. 210, Salt Lake City, UT 84107-2900 | 2008-06-18 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84107 |
Please comment or provide details below to improve the information on NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA 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.