NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC


Address: 880 E 3900 S, Ste B, Salt Lake City, UT 84107-2151
Phone: 8012681296

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
UT W0522 05

Other Provider/Organization Names

Other Name Type Code
DaVita Nephrology Partners Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Nephrology Medical Associates of Georgia LLC 2000 16th St, Denver, Colorado 80202

Office Location

Street Address 880 E 3900 S
STE B
City SALT LAKE CITY
State UT
Zip Code 84107-2151

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SALT LAKE CITY
Zip Code 84107

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Dataset Information

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.

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