GRAND MESA NEPHROLOGY PLLC (NPI# 1154633220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154633220 |
| Entity Type | Organization |
| Organization Name | GRAND MESA NEPHROLOGY PLLC |
| Practice Address |
2748 Crossroads Blvd Grand Junction CO 81506-3933 |
| Mailing Address |
7641 Charolais St Billings MT 59106-9664 |
| Practice Telephone | 9702550919 |
| Practice Fax Number | 9702550901 |
| Mailing Telephone | 4062485511 |
| Mailing Fax Number | 4062485540 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |
| Authorized Official Name | DR. GRACE E KIM (PRESIDENT) |
| Authorized Official Telephone | 4062485511 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
2748 CROSSROADS BLVD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81506-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938543 | Raedene Schmidt | Internal Medicine | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2005-08-09 |
| 1811531742 | Erika S Caton | Dietitian, Registered | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2019-11-04 |
| 1912246125 | Marcella Martha Mclaughlin | Dietitian, Registered | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2013-02-07 |
| 1699905422 | Integrated Nephrology Associates, PC | Internal Medicine | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2009-07-14 |
| 1154465888 | Joseph S. Harawi | Internal Medicine | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2007-02-16 |
| 1114068582 | Mary Rae Davenport | Nurse Practitioner | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2007-02-09 |
| 1053344531 | Dialysis Clinic Inc. | Clinic/Center | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1720646292 | Creed Ott | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
| 1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
| 1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
| 1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
| Find all providers in zip 81506 | ||||
| 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 |
|---|---|---|---|---|
| 1285248054 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 2635 N 7th St Ste 20, Grand Junction, CO 81501-8209 | 2020-08-31 |
| 1326145038 | Barry J Sobel | Internal Medicine | 2635 North 7th. Street, 4 Center, Grand Junction, CO 81501 | 2006-09-17 |
| 1215938543 | Raedene Schmidt | Internal Medicine | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2005-08-09 |
| 1699905422 | Integrated Nephrology Associates, PC | Internal Medicine | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2009-07-14 |
| 1144409483 | Duncan Ross Mcgregor | Internal Medicine | 2635 N 7th St, 4 Center, Grand Junction, CO 81501-8209 | 2007-11-02 |
| 1437110954 | Matthew Paul Cyphers | Internal Medicine | 2635 N 7th St, 4 Center, Grand Junction, CO 81501-8209 | 2006-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851738 | Pikes Peak Nephrology Associates PC | Internal Medicine | 850 Eagleridge Blvd # 100, Pueblo, CO 81008-2148 | 2020-11-04 |
| 1427658277 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1910 Lelaray St, Colorado Springs, CO 80909-2800 | 2020-10-30 |
| 1841890597 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2002 Lelaray St Ste 130, Colorado Springs, CO 80909-2804 | 2020-10-30 |
| 1689274953 | Pikes Peak Nephrology Associates PC | Internal Medicine | 850 Eagleridge Blvd, Pueblo, CO 81008-2148 | 2020-10-27 |
| 1417562943 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 11700 W 2nd Pl Ste 345, Lakewood, CO 80228-1710 | 2020-09-11 |
| 1336754852 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 2655 Crescent Dr Ste D, Lafayette, CO 80026-3373 | 2020-09-11 |
| 1336754860 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 1960 Ken Pratt Blvd Ste B, Longmont, CO 80501-6092 | 2020-09-11 |
| 1184261422 | Consultants In Nephrology and Hypertension Professional LLC | Internal Medicine | 2352 Meadows Blvd Ste 250, Castle Rock, CO 80109-8417 | 2019-12-05 |
| 1841728789 | Denver Nephrologists, PC | Internal Medicine | 130 Rampart Way Ste 300a, Denver, CO 80230-6454 | 2017-05-23 |
| 1508236910 | Mark Harrison | Internal Medicine | 546 14th St, Boulder, CO 80302-7806 | 2015-09-28 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
Please comment or provide details below to improve the information on GRAND MESA NEPHROLOGY PLLC.
| 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.