AFTON NEPHROLOGY ASSOCIATES, P.C. (NPI# 1093083446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093083446 |
| Entity Type | Organization |
| Organization Name | AFTON NEPHROLOGY ASSOCIATES, P.C. |
| Other Organization Name | STATE FAIR DIALYSIS |
| Practice Address |
19445 Afton Rd Detroit MI 48203-1437 |
| Practice Telephone | 3135745430 |
| Practice Fax Number | 7343534108 |
| Mailing Telephone | 3135745430 |
| Mailing Fax Number | 7343534108 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | RACHEL DONALDSON KIMPSON (PRESIDENT) |
| Authorized Official Telephone | 3135745430 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | AFTON NEPHROLOGY ASSOCIATES, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
4301406139 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| State Fair Dialysis | Doing Business As Name - Organization |
| Street Address |
19445 AFTON RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48203-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
| 1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
| 1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
| 1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
| 1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
| 1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
| 1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
| 1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
| 1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
| Find all providers in zip 48203 | ||||
| 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 |
|---|---|---|---|---|
| 1457865354 | Aaa Home Visiting Pllc | Internal Medicine | 1502 Fort St, Detroit, MI 48216 | 2017-11-30 |
| 1982129805 | Abhay Mishra | Internal Medicine | 4160 John R St Ste 908, Detroit, MI 48201-2017 | 2017-08-11 |
| 1033669445 | T-beyene Hypertension & Kidney Care Plc | Internal Medicine | 4160 John R Ste 1011, Harper Professional Building, Detroit, MI 48201 | 2016-10-10 |
| 1194053793 | Wei Jeng Lin Md PC | Internal Medicine | 6001 W Outer Dr Suite 320, Detroit, MI 48235 | 2009-11-20 |
| 1003083460 | Middlebrook Medical Center | Internal Medicine | 20001 Livernois Ave, Suite 500, Detroit, MI 48221-4122 | 2008-05-14 |
| 1255528816 | Xiaoping Huang Md Ph D PC | Internal Medicine | 4160 John R Road, Ste 729, Detroit, MI 48201 | 2007-09-27 |
| 1669446050 | Vinod Goyal | Internal Medicine | 2141 E Jefferson Ave, Detroit, MI 48207-4128 | 2006-02-14 |
| 1023016474 | Aris Querol Urbanes | Internal Medicine | 4160 John R St Ste 980, Detroit, MI 48201-2017 | 2005-07-11 |
| 1942821376 | Z Tamam Hypertension and Kidney | Internal Medicine | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-04-27 |
| 1528601952 | Procare Partners Health Pllc | Internal Medicine | 4777 E Outer Dr Ste 1147, Detroit, MI 48234-3241 | 2019-10-17 |
| Find all providers in DETROIT | ||||
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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.