SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. (NPI# 1114045846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114045846 |
| Entity Type | Organization |
| Organization Name | SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. |
| Practice Address |
32665 Hwy 281 N Ste 206 Bulverde TX 78163-3124 |
| Mailing Address |
7142 San Pedro Ave Ste 120 San Antonio TX 78216-6254 |
| Practice Telephone | 2106547326 |
| Practice Fax Number | 2105908232 |
| Mailing Telephone | 2104817453 |
| Mailing Fax Number | 2104817463 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-09-16 |
| Authorized Official Name | MR. CLAY ROBY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2104817453 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| 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 |
| 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 |
| 1013336791 | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | Internal Medicine | 215 E Quincy St, Suite 420, San Antonio, TX 78215-2034 | 2014-04-10 |
| 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 |
32665 HWY 281 N STE 206 |
| City | BULVERDE |
| State | TX |
| Zip Code | 78163-3124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710488 | Angela Renee Aston | Nurse Practitioner | 805 Kelly Creek, Bulverde, TX 78163 | 2020-11-03 |
| 1992262182 | Millennium Dental | Clinic/Center | 30070 Hwy 281 North, Suite 200, Bulverde, TX 78163 | 2019-02-25 |
| 1386142768 | Bulverde Point Dental, Pllc | Dentist | 30745 N Hwy 281, Suite 103, Bulverde, TX 78163 | 2018-01-31 |
| 1386872224 | American D.m.e. | Durable Medical Equipment & Medical Supplies | 31199 Beck Rd, San Antonio, TX 78163 | 2009-06-30 |
| 1104050061 | Claudio Constantino Toledo | Emergency Medicine | 19851 Highway 46 W, Ste 201, Spring Branch, TX 78163 | 2009-05-07 |
| 1285842674 | Scott Gorden Stafford Dds PC | Dentist | 30695 North Highway 281, Bulverde, TX 78163 | 2007-05-18 |
| 1750410270 | Glen I. Feinstein, Md, Pa | Specialist | 32665 Highway 281 N, Suite 210, Bulverde, TX 78163 | 2007-03-02 |
| 1134290489 | Leoncio Garza | Dentist | 30070 Hwy 281, Suite 200, Bulverde, TX 78163 | 2006-11-10 |
| 1235231507 | Jason Richard Hahn | Chiropractor | 32635 Hwy 281 North, #100, Bulverde, TX 78163 | 2006-09-05 |
| 1033145123 | Irvin P. Brock IIi, M.d., P.a. | Clinic/Center | 160 Creekside Park, Suite 202, Bulverde, TX 78163 | 2006-06-23 |
| Find all providers in zip 78163 | ||||
| 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. |
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| 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 | ||||
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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.