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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Texas Kidney Consultants | Doing Business As Name - Organization |
| 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 |
| Street Address |
4708 ALLIANCE BLVD SUITE 600 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5340 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 75093 | ||||
| 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 |
|---|---|---|---|---|
| 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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| 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.