SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. (NPI# 1013336791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013336791 |
| Entity Type | Organization |
| Organization Name | SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. |
| Practice Address |
215 E Quincy St Suite 420 San Antonio TX 78215-2034 |
| Mailing Address |
7142 San Pedro Ave Suite 120 San Antonio TX 78216-6256 |
| Practice Telephone | 2102229997 |
| Practice Fax Number | 2102222939 |
| Mailing Telephone | 2106615622 |
| Mailing Fax Number | 2104817463 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |
| Authorized Official Name | MR. CLAY ROBY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2106615622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992002547 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 9846 Westover Hills Blvd, Suite 101, San Antonio, TX 78251-4125 | 2011-02-17 |
| 1114235934 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 1320 W Oaklawn Rd, Suite H, Pleasanton, TX 78064-4315 | 2010-09-14 |
| 1174710040 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 1410 E Walnut St, Seguin, TX 78155-5175 | 2007-09-25 |
| 1215057534 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 7114 San Pedro Ave, San Antonio, TX 78216-6218 | 2007-03-30 |
| 1114045846 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 32665 Hwy 281 N, Ste 206, Bulverde, TX 78163-3124 | 2007-03-27 |
| 1164540134 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 222 Sidney Baker S, Suite 208, Kerrville, TX 78028-5994 | 2007-03-27 |
| 1356325922 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 7142 San Pedro Ave, Ste 120, San Antonio, TX 78216-6256 | 2005-12-06 |
| 1417594995 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Clinic/Center | 7114 San Pedro Ave, San Antonio, TX 78216-6218 | 2019-12-04 |
| 1467707240 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 2902 Goliad Rd, Suite 103, San Antonio, TX 78223-3971 | 2012-07-18 |
| 1619274271 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Nurse Practitioner | 4653 Binz Engleman Rd, Suite 1, San Antonio, TX 78219-1712 | 2011-02-17 |
| Street Address |
215 E QUINCY ST SUITE 420 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78215-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437141546 | George S Reyna | Ophthalmology | 215 E Quincy St, Suite 505, San Antonio, TX 78215-2034 | 2005-08-16 |
| 1437529443 | Jenna Macik | Physician Assistant | 215 E Quincy St, Suite 500, San Antonio, TX 78215-2039 | 2015-10-02 |
| 1689085094 | San Antonio Reproductive Associates Pllc | Obstetrics & Gynecology | 215 E Quincy St, One Lexington Suite 314, San Antonio, TX 78215-2039 | 2014-05-20 |
| 1538414867 | San Antonio Eye Center, P.a. | Durable Medical Equipment & Medical Supplies | 215 E Quincy St, Suite 505, San Antonio, TX 78215-2039 | 2012-07-24 |
| 1184789232 | Radiation Oncology of San Antonio, Pa | Specialist | 215 E Quincy St, Ste B100, San Antonio, TX 78215-2039 | 2006-12-27 |
| 1588758791 | John E Konkol Jr. | Podiatrist | 215 E Quincy St, Suite 501, San Antonio, TX 78215-2039 | 2006-10-03 |
| 1407957657 | Nastaran Fathi | Internal Medicine | 215 E Quincy St, 420, San Antonio, TX 78215-2039 | 2006-09-26 |
| 1396846408 | The Podiatry Group of South Texas, Pa | Durable Medical Equipment & Medical Supplies | 215 E Quincy St, Suite 501, San Antonio, TX 78215-2039 | 2006-09-25 |
| 1285600882 | Arturo Molina | Internal Medicine | 215 E Quincy St, Suite 610, San Antonio, TX 78215-2039 | 2006-02-24 |
| 1598745457 | Vhs San Antonio Partners LLC | Psychiatry & Neurology | 215 E Quincy St, Suite 200, San Antonio, TX 78215-2032 | 2006-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710487780 | Webster Street Dental Pllc | Clinic/Center | 311 E Jones Ave, San Antonio, TX 78215 | 2018-02-16 |
| 1699215293 | Monique Gonzalez | Nurse Practitioner | 311 Camden St., Suite 510, San Antonio, TX 78215 | 2017-03-01 |
| 1477958015 | Rachel Lynn Stein | Nurse Practitioner | 311 Camden St Ste 501, San Antonio, TX 78215 | 2014-10-24 |
| 1962837005 | Jessica Maria Leighton | Nurse Practitioner | 926 Brooklyn Ave Ste 100, San Antonio, TX 78215 | 2013-09-09 |
| 1891037123 | Michael Aguilar Davila | Clinic/Center | 303 E Quincy Ste 104, Physician Health Services, San Antonio, TX 78215 | 2013-03-25 |
| 1265669584 | Colin Townes Son | Neurological Surgery | 123 Roy Smith St Apt 1211, San Antonio, TX 78215 | 2009-06-12 |
| 1306082292 | Dario Fernandez | Physical Therapist | 302 E Josephine St Ste 1101, San Antonio, TX 78215 | 2008-12-23 |
| 1992966584 | Vcphcs Vii, LLC | Clinic/Center | 519 E. Quincy, San Antonio, TX 78215 | 2008-06-17 |
| 1871686360 | Inocencio A. Davila, M.d.,p.a. | Anesthesiology | 621 N. Alamo, San Antonio, TX 78215 | 2006-10-02 |
| 1730282708 | Elizabeth S Brickman | Pediatrics | 311 Camden, Suite 214, San Antonio, TX 78215 | 2006-09-06 |
| Find all providers in zip 78215 | ||||
| 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 |
|---|---|---|---|---|
| 1871656025 | Irving Matthew Cohen | Internal Medicine | 18739 Double Fork Rd, San Antonio, TX 78258 | 2006-12-19 |
| 1851368112 | Renal Associates, P.a. | Internal Medicine | 16620 N Us Hwy 281, Ste 300, San Antonio, TX 78232-2679 | 2006-03-07 |
| 1881660454 | Michael Degaetano | Internal Medicine | 5620 Lone Star Pkwy # 2, San Antonio, TX 78253-2202 | 2006-02-24 |
| 1922074798 | Anwar Soliman Gerges | Internal Medicine | 19234 Stonehue, San Antonio, TX 78258-3477 | 2006-02-23 |
| 1144295064 | Timoteo Cabrera IIi | Internal Medicine | 303 N Frio St, San Antonio, TX 78207-3034 | 2006-02-22 |
| 1730154667 | Cleve Brantley Collins | Internal Medicine | 5131 Medical Dr, Ste 120, San Antonio, TX 78229-5062 | 2006-02-22 |
| 1811962723 | Lisa Ochoa Cabrera | Internal Medicine | 4439 E Southcross Blvd, Renal Associates Pa, San Antonio, TX 78222-7822 | 2006-02-22 |
| 1467427401 | Ronald W Hamner | Internal Medicine | 1123 N Main Ave Ste 120, San Antonio, TX 78212-4738 | 2006-02-22 |
| 1184609349 | Rodolfo O Garza | Internal Medicine | 731 Carnoustie Dr, Suite 102, San Antonio, TX 78258-4799 | 2005-12-09 |
| 1447235908 | Peter Smolens | Internal Medicine | 2391 Ne Loop 410, Suite 405, San Antonio, TX 78217-5600 | 2005-12-07 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78215 |
Please comment or provide details below to improve the information on SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C..
| 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.