NORTH TEXAS KIDNEY DISEASE ASSOCIATES (NPI# 1821169632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821169632 |
| Entity Type | Organization |
| Organization Name | NORTH TEXAS KIDNEY DISEASE ASSOCIATES |
| Practice Address |
1600 Waters Ridge Dr Ste. A Lewisville TX 75057 |
| Mailing Address |
3315 Colorado Blvd Ste 102 Denton TX 76210-6885 |
| Practice Telephone | 9722190558 |
| Practice Fax Number | 9405655457 |
| Mailing Telephone | 9403201708 |
| Mailing Fax Number | 9405655457 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-07-11 |
| Authorized Official Name | TAMMY VAUGHN (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 9403201708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 146883702 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154875839 | North Texas Kidney Disease Associates | Internal Medicine | 4708 Alliance Blvd Ste 685, Plano, TX 75093 | 2016-08-10 |
| 1750405197 | North Texas Kidney Disease Associates | Internal Medicine | 3315 Colorado Blvd Ste 102, Denton, TX 76210 | 2007-03-19 |
| 1790239911 | North Texas Kidney Disease Associates | Internal Medicine | 6190 Lbj Fwy, Suite 702, Dallas, TX 75240 | 2016-08-04 |
| 1154777068 | North Texas Kidney Disease Associates | Internal Medicine | 4333 N Josey Ln, Suite 202, Carrollton, TX 75010 | 2016-05-10 |
| 1770942773 | North Texas Kidney Disease Associates | Internal Medicine | 4312 Heritage Trace Pkwy, Suite 708, Fort Worth, TX 76244 | 2016-02-18 |
| 1063871440 | North Texas Kidney Disease Associates | Internal Medicine | 4370 Medical Arts Dr, Suite 210, Flower Mound, TX 75028 | 2016-02-15 |
| 1174990311 | North Texas Kidney Disease Associates | Internal Medicine | 4401 Coit Rd, Suite 303, Frisco, TX 75035 | 2015-08-24 |
| 1093182305 | North Texas Kidney Disease Associates | Internal Medicine | 2609 Scripture St, Denton, TX 76201 | 2015-08-24 |
| 1285036756 | North Texas Kidney Disease Associates | Internal Medicine | 1600 Coit Rd, Bldg. 1, Suite 300, Plano, TX 75075 | 2014-09-16 |
| 1245492511 | North Texas Kidney Disease Associates | Internal Medicine | 6331 Boulevard 26, Ste. 220, North Richland Hills, TX 76180 | 2008-06-27 |
| Street Address |
1600 WATERS RIDGE DR STE. A |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144434010 | Syed M Ali | Specialist | 1600 Waters Ridge Dr, Suite A, Lewisville, TX 75057-6039 | 2007-05-10 |
| 1720111958 | North Texas Dialysis Inc. | Clinic/Center | 1600 Waters Ridge Dr, Lewisville, TX 75057-6014 | 2007-03-14 |
| 1598895906 | Renal Center of Lewisville, LLC | Clinic/Center | 1600 Waters Ridge Dr, Ste B, Lewisville, TX 75057-6039 | 2007-03-06 |
| 1376608265 | Martha Cecile Storrie | Urology | 1600 Waters Ridge Dr, Lewisville, TX 75057-6039 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932681889 | Creekview Pharmacy LLC | Pharmacy | 880 Hebron Pkwy # 170, Lewisville, TX 75057 | 2018-09-06 |
| 1518450352 | Dorene Ebangha Etarock | Pediatrics | 860 Hebron Pkwy Ste 202, Lewisville, TX 75057 | 2018-06-06 |
| 1346691227 | Janet Swain | Registered Nurse | 860 Hebron Pkwy Ste 1101, Lewisville, TX 75057 | 2016-06-22 |
| 1124486204 | Gold Star Home Healthcare | Home Health | 960 E Hwy 121 Business, Lewisville, TX 75057 | 2016-02-04 |
| 1093173163 | Lifeview Counseling | Community/Behavioral Health | 751 Hebron Pkwy, Ste 320, Lewisville, TX 75057 | 2016-02-04 |
| 1376969766 | Kyle Nix | Chiropractor | 363 W. Main St., Lewisville, TX 75057 | 2014-03-10 |
| 1386082725 | Drew Alan Ratner | Orthopaedic Surgery | 500 W Main St Ste 260, Lewisville, TX 75057 | 2013-06-07 |
| 1194074377 | Cheryl Ann Rayl | Counselor | 401 E. Corporate Drive, Ste. 100, Lewisville, TX 75057 | 2012-09-05 |
| 1053669259 | Vikas Patel | Pharmacist | 880 Hebron Pkwy Ste 170, Lewisville, TX 75057 | 2012-08-17 |
| 1093043507 | Golden Triangle Anesthesia Services, PC | Nurse Anesthetist, Certified Registered | 591 W. Main St., Lewisville Surgery Center, Lewisville, TX 75057 | 2009-11-20 |
| Find all providers in zip 75057 | ||||
| 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 |
|---|---|---|---|---|
| 1033100375 | Usha N Peri | Internal Medicine | 1600 Waters Ridge, Ste A, Lewisville, TX 75057 | 2005-11-04 |
| 1336120310 | Bruce H Baker | Internal Medicine | 1600 Waters Ridge, Ste A, Lewisville, TX 75057 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203659 | Nephrology and Hypertension Specialists Pa | Internal Medicine | 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 | 2020-10-22 |
| 1437781960 | Haus Medical Group Pllc | Internal Medicine | 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 | 2020-02-12 |
| 1962040949 | Ngoc-han Thi Tran | Internal Medicine | 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 | 2019-12-20 |
| 1659916617 | Heartland Physicians Associates Nephrology Pllc | Internal Medicine | 150 Pine Forest Dr Ste 501, Shenandoah, TX 77384-5304 | 2019-11-14 |
| 1578106894 | Cardiorenal Therapeutics of North Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 365, Sherman, TX 75092-7393 | 2019-10-18 |
| 1639711534 | Immaculate Vascular Access Center Pllc | Internal Medicine | 349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091 | 2019-10-11 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1841849098 | Austin Kidney Care LLC | Internal Medicine | 2005 Palo Duro Rd, Austin, TX 78757-3242 | 2019-09-10 |
| 1467000828 | Ntkc-dfw, Pllc | Internal Medicine | 2220 Bryan Pl Ste 104, Midlothian, TX 76065-7127 | 2019-08-29 |
| 1306407697 | H&n Medical Investment, LLC | Internal Medicine | 4201 Medical Center Dr. Ste 240, Mckinney, TX 75069-1774 | 2019-06-26 |
| Find all providers with the same taxonomy | ||||
| City | LEWISVILLE |
| Zip Code | 75057 |
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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.