SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP PLLC (NPI# 1164685798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164685798 |
| Entity Type | Organization |
| Organization Name | SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP PLLC |
| Practice Address |
102 Palo Alto Rd Ste 200 San Antonio TX 78211-3758 |
| Mailing Address |
7142 San Pedro Ave Ste 120 San Antonio TX 78216-6256 |
| Practice Telephone | 2104030765 |
| Practice Fax Number | 2105479270 |
| Mailing Telephone | 2104817453 |
| Mailing Fax Number | 2104817463 |
| Enumeration Date | 2008-07-03 |
| 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 |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
102 PALO ALTO RD STE 200 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78211-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658050 | Rgv-nueces Rehabilitation, Inc. | Physical Therapist | 102 Palo Alto Rd, Suite 465, San Antonio, TX 78211-3758 | 2005-06-10 |
| 1609296664 | Francis X Burch Md Pa | Chiropractor | 102 Palo Alto Rd, Ste 320, San Antonio, TX 78211-3758 | 2014-04-17 |
| 1457789976 | Sun Clinical Laboratory LLC | Clinical Medical Laboratory | 102 Palo Alto Rd, Suite 245, San Antonio, TX 78211-3758 | 2013-10-18 |
| 1881995637 | Roberto Silva M.d Pa | Specialist | 102 Palo Alto Rd, Suite 129, San Antonio, TX 78211-3758 | 2010-11-10 |
| 1548581820 | H N Kumara, Md Pa | Physical Medicine & Rehabilitation | 102 Palo Alto Rd, Suite 133, San Antonio, TX 78211-3758 | 2010-06-21 |
| 1023269925 | Kris A Ford | Podiatrist | 102 Palo Alto Rd, Suite 133, San Antonio, TX 78211-3758 | 2008-10-09 |
| 1356502173 | Trinity Pharmacies LLC | Pharmacy | 102 Palo Alto Rd, Suite 240, San Antonio, TX 78211-3758 | 2008-06-24 |
| 1093991259 | Venkat Srinivasan, Md, Pa | Internal Medicine | 102 Palo Alto Rd, 300, San Antonio, TX 78211-3791 | 2008-01-17 |
| 1770771669 | Children's Night Clinic, P.a. | Clinic/Center | 102 Palo Alto Rd, Suite 120, San Antonio, TX 78211-3758 | 2007-10-05 |
| 1558556746 | Rn Plus Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 102 Palo Alto Rd, San Antonio, TX 78211-3758 | 2007-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306211735 | Flour Bluff Dental Pllc | Dentist | 1431 Palo Alto Rd, San Antonio, TX 78211 | 2015-12-10 |
| 1578903282 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 8538 Ih 35 South, San Antonio, TX 78211 | 2013-06-26 |
| 1376774448 | Esmeralda Huizar Alvarado | Dental Hygienist | 902 Wagner, San Antonio, TX 78211 | 2009-08-06 |
| 1164677134 | Deborah Rodriguez | Occupational Therapist | 102 Palo Alto Rd., Suite 140, San Antonio, TX 78211 | 2008-11-18 |
| 1083895619 | Orthotics Specialist | Prosthetic/Orthotic Supplier | Orthotics Specialist Dba Hill Country Orthotics and Pro, 6631 S Zarzamora St, San Antonio, TX 78211 | 2007-11-26 |
| 1508079435 | Huong Mai Nguyen | Optometrist | 8538 Ih-35 South, San Antonio, TX 78211 | 2007-05-07 |
| 1750593760 | Methodist Healthcare Ministries of South Texas | Clinic/Center | Wesley Primary Care Clinic, 1406 Fitch Street, San Antonio, TX 78211 | 2007-05-03 |
| 1720116825 | Pieter Laven | Dentist | 7201 Somerset Road, San Antonio, TX 78211 | 2007-03-01 |
| 1710058458 | Sa Helping Hands LLC | Home Health | 5655 Highway 35 S, San Antonio, TX 78211 | 2006-11-13 |
| 1669073839 | Callilayne Garnsey | Pharmacist | 8538 Ih-35 South, San Antonio, TX 78211 | 2020-11-04 |
| Find all providers in zip 78211 | ||||
| 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 | 78211 |
Please comment or provide details below to improve the information on SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP 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.