NORTH TEXAS KIDNEY DISEASE ASSOCIATES (NPI# 1154777068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154777068 |
| Entity Type | Organization |
| Organization Name | NORTH TEXAS KIDNEY DISEASE ASSOCIATES |
| Practice Address |
4333 N Josey Ln Suite 202 Carrollton TX 75010 |
| Mailing Address |
3315 Colorado Blvd Suite 102 Denton TX 76210-6884 |
| Practice Telephone | 9722190558 |
| Practice Fax Number | 9724369273 |
| Mailing Telephone | 9403201708 |
| Mailing Fax Number | 9405655457 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2018-07-11 |
| Authorized Official Name | TAMMY VAUGHN (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 9403201708 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH TEXAS KIDNEY DISEASE ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 146883702 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154875839 | North Texas Kidney Disease Associates | Internal Medicine | 4708 Alliance Blvd Ste 685, Plano, TX 75093 | 2016-08-10 |
| 1750405197 | North Texas Kidney Disease Associates | Internal Medicine | 3315 Colorado Blvd Ste 102, Denton, TX 76210 | 2007-03-19 |
| 1821169632 | North Texas Kidney Disease Associates | Internal Medicine | 1600 Waters Ridge Dr, Ste. A, Lewisville, TX 75057 | 2006-11-13 |
| 1790239911 | North Texas Kidney Disease Associates | Internal Medicine | 6190 Lbj Fwy, Suite 702, Dallas, TX 75240 | 2016-08-04 |
| 1770942773 | North Texas Kidney Disease Associates | Internal Medicine | 4312 Heritage Trace Pkwy, Suite 708, Fort Worth, TX 76244 | 2016-02-18 |
| 1063871440 | North Texas Kidney Disease Associates | Internal Medicine | 4370 Medical Arts Dr, Suite 210, Flower Mound, TX 75028 | 2016-02-15 |
| 1174990311 | North Texas Kidney Disease Associates | Internal Medicine | 4401 Coit Rd, Suite 303, Frisco, TX 75035 | 2015-08-24 |
| 1093182305 | North Texas Kidney Disease Associates | Internal Medicine | 2609 Scripture St, Denton, TX 76201 | 2015-08-24 |
| 1285036756 | North Texas Kidney Disease Associates | Internal Medicine | 1600 Coit Rd, Bldg. 1, Suite 300, Plano, TX 75075 | 2014-09-16 |
| 1245492511 | North Texas Kidney Disease Associates | Internal Medicine | 6331 Boulevard 26, Ste. 220, North Richland Hills, TX 76180 | 2008-06-27 |
| Street Address |
4333 N JOSEY LN SUITE 202 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664122 | Charles S Churchwell | Podiatrist | 4333 N Josey Ln, Suite 102, Carrollton, TX 75010-4629 | 2005-07-26 |
| 1124497649 | Matthew Hunt | Physician Assistant | 4333 N Josey Ln, Plaza II, Suite 302, Carrollton, TX 75010-4629 | 2015-09-15 |
| 1245618461 | Podiatric Medical Partners of Texas, Pa | Podiatrist | 4333 N Josey Ln, Suite 102, Carrollton, TX 75010-4629 | 2015-05-07 |
| 1356732820 | Rebecca Sue Braden | Physician Assistant | 4333 N Josey Ln, Plaza II, Suite 302, Carrollton, TX 75010-4629 | 2015-02-05 |
| 1194093872 | Manik U Vora Md Pa | Obstetrics & Gynecology | 4333 N Josey Ln, Suite 101, Carrollton, TX 75010-4629 | 2011-12-08 |
| 1750610432 | Bethany M Bryant | Family Medicine | 4333 N Josey Ln, Suite 302, Carrollton, TX 75010-4629 | 2009-12-09 |
| 1801026513 | Pulmonary Care Specialists, P. A. | Internal Medicine | 4333 N Josey Ln, Suite 207, Carrollton, TX 75010-4629 | 2009-07-16 |
| 1942460449 | Suvin Banker | Internal Medicine | 4333 N Josey Ln, Suite 205, Carrollton, TX 75010-4629 | 2008-06-10 |
| 1487824710 | Marla J Lehmann | Family Medicine | 4333 N Josey Ln, # 302, Carrollton, TX 75010-4629 | 2008-03-03 |
| 1336318229 | Southwest Podiatry, LLP | Podiatrist | 4333 N Josey Ln, Plaza II Suite 102, Carrollton, TX 75010-4629 | 2008-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| 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 |
|---|---|---|---|---|
| 1932591948 | Georgia Renal and Hypertension Care Inc | Internal Medicine | 928 S Park St, Suite H, Carrollton, GA 30117-4501 | 2015-02-27 |
| 1275932204 | Ricardo Rodriguez Santos | Internal Medicine | 4333 N Josey Ln Ste 202, Carrollton, TX 75010 | 2014-08-14 |
| 1477583763 | Jun Chen | Internal Medicine | 4240 International Pkwy, Ste. 154, Carrollton, TX 75007 | 2006-07-03 |
| 1285814988 | Carroll County Nephrology LLC | Internal Medicine | 157 Clinic Ave, Suite 203, Carrollton, GA 30117-4454 | 2007-11-09 |
| 1750590691 | Deeba Nohi Ali | Internal Medicine | 4240 International Pkwy, Suite 154, Carrollton, TX 75007-1970 | 2007-05-21 |
| 1689887911 | Bryan Quinn | Internal Medicine | 157 Clinic Ave, Suit 203, Carrollton, GA 30117-4454 | 2007-05-07 |
| 1790809036 | North Texas Kidney Disease Associates | Internal Medicine | 4240 International Pkwy, Ste. 154, Carrollton, TX 75007 | 2007-03-19 |
| 1720122096 | Anjana S. Jagalur | Internal Medicine | 4333 N Josey Ln, Ste 202, Carrollton, TX 75010 | 2007-02-19 |
| 1457303323 | Matthew T Smith | Internal Medicine | 4333 N Josey Ln, Suite 202, Carrollton, TX 75010-4629 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203659 | Nephrology and Hypertension Specialists Pa | Internal Medicine | 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 | 2020-10-22 |
| 1437781960 | Haus Medical Group Pllc | Internal Medicine | 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 | 2020-02-12 |
| 1962040949 | Ngoc-han Thi Tran | Internal Medicine | 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 | 2019-12-20 |
| 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 | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
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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.