NEPHROLOGY MEDICAL ASSOCIATES OF GA, LLC (NPI# 1841691250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841691250 |
Entity Type | Organization |
Organization Name | NEPHROLOGY MEDICAL ASSOCIATES OF GA, LLC |
Other Organization Name | OREGON KIDNEY AND HYPERTENSION CLINIC |
Practice Address |
315 Se Stonemill Dr Suite 220 Vancouver WA 98684-6998 |
Mailing Address |
2000 16th St Denver CO 80202-5158 |
Practice Telephone | 5032841937 |
Mailing Telephone | 3038767243 |
Mailing Fax Number | 8669175396 |
Enumeration Date | 2014-09-05 |
Last Update Date | 2014-09-05 |
Authorized Official Name | DERON FRANK (GENERAL MANAGER/VICE PRESIDENT) |
Authorized Official Telephone | 3105362402 |
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 |
---|---|
Oregon Kidney and Hypertension Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164850533 | Nephrology Medical Associates of Ga, LLC | Internal Medicine | 3777 James Ct, Suite 1, Zanesville, OH 43701-8127 | 2013-10-23 |
Street Address |
315 SE STONEMILL DR SUITE 220 |
City | VANCOUVER |
State | WA |
Zip Code | 98684-6998 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609037738 | Christopher Lynn Gilbert | Family Medicine | 315 Se Stonemill Dr, Suite 102, Vancouver, WA 98684-6987 | 2008-06-20 |
1336543560 | Providence Health & Services - Oregon | Psychiatry & Neurology | 315 Se Stonemill Dr, Suite 220, Vancouver, WA 98684-6987 | 2014-10-17 |
1497097570 | Christine B Green | Psychologist | 315 Se Stonemill Dr, Suite 102, Vancouver, WA 98684-6998 | 2013-03-26 |
1376868224 | Andrea Marie Buckler | Family Medicine | 315 Se Stonemill Dr, Suite 102, Vancouver, WA 98684-6987 | 2010-04-05 |
1841434990 | Jamie Lynn Dailey | Family Medicine | 315 Se Stonemill Dr, Suite 102, Vancouver, WA 98684-6998 | 2009-04-20 |
1366699464 | Oregon Clinic PC | Specialist | 315 Se Stonemill Dr, Suite 220, Vancouver, WA 98684-6998 | 2008-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
Find all providers in zip 98684 |
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 |
---|---|---|---|---|
1316171242 | Jennifer Kim Schneider | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2009-05-06 |
1073779831 | Binaya Khanal | Internal Medicine | 700 Ne 87th Ave Ste 270, Vancouver, WA 98664 | 2008-07-31 |
1619132495 | Sandeep Vetteth | Internal Medicine | 505 Ne 87th Ave, Suite 460, Vancouver, WA 98664-1989 | 2008-07-22 |
1275623563 | Sudha Pidikiti | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-10-15 |
1659314557 | John Rastall | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-06-14 |
1134160682 | Larry Lee | Internal Medicine | 700 Ne 87th Ave, Ste270, Vancouver, WA 98664-1913 | 2006-06-08 |
1699713073 | Charles Plamp | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-06-04 |
1609813088 | Haritha Ravi | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790326502 | Blazing Grace Medical, LLC | Internal Medicine | 953 Stevens Dr Ste C, Richland, WA 99352-3533 | 2019-10-02 |
1619460268 | Pacific Kidney & Hypertension, LLC | Internal Medicine | 2707 Colby Ave, Everett, WA 98201-3528 | 2018-06-08 |
1992258289 | Roderick Marshall Macdonald | Internal Medicine | University of Washington Mc 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2016-08-03 |
1124458310 | Cascade Kidney Specialists | Internal Medicine | Cascade Kidney Specialists, 1370 116th Ave Ne Suite 209, Bellevue, WA 98004-3825 | 2013-11-25 |
1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
1164775508 | Hoang H Dang, Md, Ps | Internal Medicine | 9804 Ne 15th St, Bellevue, WA 98004-3431 | 2012-10-23 |
1942561824 | Tsering Dhondup | Internal Medicine | 3525 Ensign Rd Ne Ste K, Olympia, WA 98506-5065 | 2012-06-06 |
1518248921 | William Griffith Couser | Internal Medicine | 16050 169th Ave Ne, Woodinville, WA 98072-8949 | 2011-08-30 |
1346535556 | David Alan Goodkin | Internal Medicine | 3807 134th Ave Ne, Bellevue, WA 98005-1437 | 2011-06-15 |
1174838676 | Shanza Mujeeb | Internal Medicine | 1708 Yakima Ave Ste 107, Tacoma, WA 98405-5300 | 2010-08-10 |
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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.