NTKC MANAGEMENT, LLC


Address: 4708 Alliance Blvd, Suite 600, Plano, TX 75093-5340
Phone: 4694670011

NTKC MANAGEMENT, LLC (NPI# 1740472299) 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) 1740472299
Entity Type Organization
Organization Name NTKC MANAGEMENT, LLC
Other Organization Name NORTH TEXAS KIDNEY CONSULTANTS
Practice Address 4708 Alliance Blvd
Suite 600
Plano
TX 75093-5340
Mailing Address 3030 Matlock Rd
Suite 205
Arlington
TX 76015-2935
Practice Telephone 4694670011
Practice Fax Number 4694674923
Mailing Telephone 8173750610
Mailing Fax Number 8173750640
Enumeration Date 2007-08-17
Last Update Date 2008-05-13
Authorized Official Name MR. DAN BACCUS (CHIEF OPERATING OFFICER)
Authorized Official Telephone 8173750610
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
North Texas Kidney Consultants Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447492756 Ntkc Management, LLC Internal Medicine 3900 Junius Street, Suite 615, Dallas, TX 75246 2009-04-01
1457543902 Ntkc Management, LLC Internal Medicine 1049 Clifton St, Fort Worth, TX 76107-2628 2007-08-17
1063654515 Ntkc Management, LLC Internal Medicine 805 Hill Blvd, Suite 102, Granbury, TX 76048-1481 2009-03-30
1891948683 Ntkc Management, LLC Internal Medicine 1601 Lancaster Dr, Suite 20c, Grapevine, TX 76051-2109 2008-10-24
1376735829 Ntkc Management, LLC Internal Medicine 1600 W College St, Suite 410, Grapevine, TX 76051-3580 2007-08-17
1083806533 Ntkc Management, LLC Internal Medicine 4351 Booth Calloway Rd, Suite 404, North Richland Hills, TX 76180-7378 2007-08-17
1518159052 Ntkc Management, LLC Internal Medicine 3515 Swiss Ave, Second Floor, Dallas, TX 75204-6223 2007-08-17
1598957037 Ntkc Management, LLC Internal Medicine 530 Clara Barton Blvd, Suite 200, Garland, TX 75042-5703 2007-08-17
1588856033 Ntkc Management, LLC Internal Medicine 601 Westpark Way, Euless, TX 76040-3972 2007-08-17
1790977411 Ntkc Management, LLC Internal Medicine 3030 Matlock Rd, Suite 205, Arlington, TX 76015-2935 2007-08-16

Office Location

Street Address 4708 ALLIANCE BLVD
SUITE 600
City PLANO
State TX
Zip Code 75093-5340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689677940 Gerhard Emil Maale IIi Specialist 4708 Alliance Blvd, Ste 710, Plano, TX 75093-5340 2005-05-31
1194360644 Mundela Tshilanda Nurse Practitioner 4708 Alliance Blvd, Ste 600, Plano, TX 75093-5368 2019-11-07
1891155784 Anna Ferris Martinez Nurse Practitioner 4708 Alliance Blvd, Suite 550, Plano, TX 75093-5340 2016-03-04
1558739789 Elaine Allison Hess Psychologist 4708 Alliance Blvd, Pav I, Ste 700, Plano, TX 75093-5340 2015-09-03
1447655857 Christian L Moncrief Md Pa Thoracic Surgery (Cardiothoracic Vascular Surgery) 4708 Alliance Blvd, Suite 770, Plano, TX 75093-5340 2014-10-28
1740605849 Matthew Wiggins Physician Assistant 4708 Alliance Blvd, 810, Plano, TX 75093-5340 2014-02-26
1447514831 Diana Margaret Kedora Nurse Practitioner 4708 Alliance Blvd, Pavilion I, Suite 300, Plano, TX 75093-5340 2012-06-29
1023372422 Amy Nicole Merritt Nurse Practitioner 4708 Alliance Blvd, Pavilion I, Suite 600, Plano, TX 75093-5340 2012-06-29
1871860882 Orthopedic Associates of Dallas LLP Orthopaedic Surgery 4708 Alliance Blvd, Suite 310, Plano, TX 75093-5340 2011-11-18
1780961045 Texas Neurosurgical Institute Pa Nurse Practitioner 4708 Alliance Blvd, Suite 830 Pavilion I, Plano, TX 75093-5340 2011-11-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235789041 Mapleshade Surgery Center, LLC Clinic/Center 960 Ohio Dr, Plano, TX 75093 2019-09-13
1003461468 Psyclear, LLC Psychologist 5055 West Park Boulevard, Suite 400, Plano, TX 75093 2019-08-02
1962981795 Ep Anesthesia Pllc Anesthesiology 4100 Mapleshade Ln, Plano, TX 75093 2018-08-13
1669973939 Eva Walekhwa Registered Nurse 6000 Ohio Drive, Apt 1027, Plano, TX 75093 2018-02-22
1437657624 Advanced Spine Center Orthopaedic Surgery 1705 Ohio Drive, Suite 300, Plano, TX 75093 2018-01-23
1184139974 Erica Cherese Carey Nurse Practitioner 1100 Allied Drive, Plano, TX 75093 2017-12-04
1457865578 Norma Vigilant Specialist/Technologist, Other 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 2017-11-28
1891214011 Americare Rx Pharmacy Inc Pharmacy 4010 W. 15th St., Ste 60, Plano, TX 75093 2017-09-19
1760912554 Baylor Surgicare At Baylor Plano, LLC Clinic/Center 4825 Alliance, Sute 300, Plano, TX 75093 2017-06-14
1881133262 Dr.seshagiri Rao Preferred Provider Organization 3016 Communications Pkwy, Ste 100, Plano, TX 75093 2017-02-17
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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
1154875839 North Texas Kidney Disease Associates Internal Medicine 4708 Alliance Blvd Ste 685, Plano, TX 75093 2016-08-10
1205224268 Advanced Kidney Care Pllc Internal Medicine 9716 Slide St, Plano, TX 75025-5862 2014-12-29
1427214063 Mirza Shahrukh Baig Internal Medicine 4708 Alliance Blvd Ste 600, Plano, TX 75093-5368 2008-08-04
1235774472 Prejith Raj Md Pllc Internal Medicine 6705 Shady Bend Ln, Plano, TX 75024-6088 2019-11-12
1285036756 North Texas Kidney Disease Associates Internal Medicine 1600 Coit Rd, Bldg. 1, Suite 300, Plano, TX 75075 2014-09-16
1376838771 Eyerusalem Engida Bayssa Internal Medicine 4708 Alliance Blvd, Ste. 835, Plano, TX 75093-5340 2011-06-14
1497981211 Advanced Kidney Care of North Texas, P.l.l.c. Internal Medicine 4708 Alliance Blvd, Suite 600, Plano, TX 75093-5368 2009-06-08
1174777858 Metroplex Nephrology Associates, Pllc Internal Medicine 4100 W 15th St, Suite 100, Plano, TX 75093-5803 2008-11-07
1972642999 Gregory Knox Stephens Internal Medicine 4708 Alliance Blvd, Suite 835, Plano, TX 75093-5340 2007-02-06
1811047665 Neghae Mawla Internal Medicine 4401 Tradition Trl, Plano, TX 75093-5633 2007-01-12
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Competitor

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City PLANO
Zip Code 75093

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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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