WILSON NEPHROLOGY-INTERNAL MEDICINE PA


Address: 2503 Wooten Blvd, Wilson, NC 27893
Phone: 2522432268

WILSON NEPHROLOGY-INTERNAL MEDICINE PA (NPI# 1942293717) 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) 1942293717
Entity Type Organization
Organization Name WILSON NEPHROLOGY-INTERNAL MEDICINE PA
Practice Address 2503 Wooten Blvd
Wilson
NC 27893
Mailing Address Po Box 3127
Wilson
NC 27895-3127
Practice Telephone 2522432268
Practice Fax Number 2522432917
Mailing Telephone 2522432268
Mailing Fax Number 2522432917
Enumeration Date 2005-08-26
Last Update Date 2011-06-29
Authorized Official Name DR. ANWAR D AL-HAIDARY (OWNER/PRESIDENT)
Authorized Official Telephone 2522432268
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC 890140N 05
NC BLUE CROSS BLUE SHIELD 0140N 01

Office Location

Street Address 2503 WOOTEN BLVD
City WILSON
State NC
Zip Code 27893

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NPI Name Taxonomy Address Enumeration
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1679100606 Newgreen Inhomecare Group Inc Registered Nurse 121 Nast Street N, Wilson, NC 27893 2020-03-27
1942772983 Open Water Medical, Pa Clinic/Center 4008 Nc-42, Wilson, NC 27893 2018-12-31
1679043244 Madison Rose Propst Social Worker 2416 Bedgood, Wilson, NC 27893 2018-11-27
1104396753 Laboratory Corporation of America Holdings Clinical Medical Laboratory 2500 Horton Blvd, Wilson, NC 27893 2018-11-27
1528545498 North Carolina In-home Partner-viii, LLC Home Health 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 2018-07-24
1518478957 Home Away From Home, Inc. In Home Supportive Care 1723 Meadowbrook Lane W., Wilson, NC 27893 2017-10-12
1942721295 Sandra Susan Blazek Social Worker 608 Nash Street Nw, Wilson, NC 27893 2017-06-27
1700306297 Kimberly Denton Almkuist Nurse Practitioner Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 2017-06-26
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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
1477525111 Robert William Bynum Iv Internal Medicine 1704 S Glendale Dr, Suite H, Wilson, NC 27893 2006-02-06
1205829066 Anwar Darwish Al-haidary Internal Medicine 2503 Wooten Blvd Sw, Wilson, NC 27893-4426 2005-08-26
1215229612 Nirav Manubhai Jasani Internal Medicine 2402 Camden St Sw, Suite 700, Wilson, NC 27893-8608 2011-05-04
1396966412 Will Bynum, M. D., P.a. Internal Medicine 1704 Glendale Dr Sw, Suite H, Wilson, NC 27893-4415 2007-05-02
1013959527 Roger Weed Lamanna Internal Medicine 2503 Wooten Blvd Sw, Wilson, NC 27893-4426 2006-06-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982251492 Renal Care, Pllc Internal Medicine 607 E Parker Rd Ste A, Morganton, NC 28655-8105 2019-08-20
1508360462 North Carolina Nephrology Pa Internal Medicine 3604 Bush St Fl 2, Raleigh, NC 27609-7511 2018-03-23
1558865444 North Carolina Nephrology Pa Internal Medicine 1006 N Arendell Ave, Zebulon, NC 27597-2352 2018-03-23
1932603800 North Carolina Nephrology Pa Internal Medicine 2824 Rogers Rd Ste 104, Wake Forest, NC 27587-3896 2018-03-23
1760986608 North Carolina Nephrology Pa Internal Medicine 160 Macgregor Pines Dr Ste 301, Cary, NC 27511-6037 2018-03-23
1083168181 Private Diagnostic Clinic, Pllc Internal Medicine 10207 Cerny St Ste 306, Raleigh, NC 27617-4879 2016-08-08
1932596525 Robert Lorch Internal Medicine 2 Genome Ct, Durham, NC 27710-3011 2015-04-21
1770991945 Barbara Gillespie Internal Medicine 109 Linton Banks Pl, Cary, NC 27513-2051 2014-07-31
1902216757 Evan Zeitler Internal Medicine 102 Mason Farm Road, Cb 7020, Chapel Hill, NC 27599-7020 2014-05-02
1649512583 William Preston Nixon Jr. Internal Medicine 2 Jasmine Ct, Wrightsville Beach, NC 28480-1924 2013-03-18
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City WILSON
Zip Code 27893

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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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