SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.


Address: 343 W Houston St, Suite 906, San Antonio, TX 78205-2107
Phone: 2102771011

SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. (NPI# 1174831945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174831945
Entity Type Organization
Organization Name SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C.
Practice Address 343 W Houston St
Suite 906
San Antonio
TX 78205-2107
Mailing Address 7142 San Pedro Ave
Suite 120
San Antonio
TX 78216-6254
Practice Telephone 2102771011
Practice Fax Number 2102771090
Mailing Telephone 2106615622
Mailing Fax Number 2104817463
Enumeration Date 2010-09-15
Last Update Date 2010-09-30
Authorized Official Name MR. CLAY ROBY (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2106615622
Is Organization Subpart N

Taxonomy

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

Other Provider IDs and Locations

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
1114045846 San Antonio Kidney Disease Center Physicians Group, P.l.l.c. Nurse Practitioner 32665 Hwy 281 N, Ste 206, Bulverde, TX 78163-3124 2007-03-27
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

Office Location

Street Address 343 W HOUSTON ST
SUITE 906
City SAN ANTONIO
State TX
Zip Code 78205-2107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386647691 Richard Anthony Keh Podiatrist 343 W Houston St, Suite 109, San Antonio, TX 78205-2262 2005-05-31
1871936393 John N.enriquez Md Pllc Psychiatry & Neurology 343 W Houston St, Suite 702, San Antonio, TX 78205-2107 2013-04-15
1184912974 Erlinda E Belvis, M.d., P.a. Psychiatry & Neurology 343 W Houston St, Suite 503, San Antonio, TX 78205-2107 2011-07-14
1942591151 Edulfo Gonzalez-sanchez Psychiatry & Neurology 343 W Houston St, Ste 807, San Antonio, TX 78205-2107 2011-04-21
1447563598 Heliodoro V Boone M.d.p.a Surgery 343 W Houston St, 512, San Antonio, TX 78205-2107 2010-07-19
1205151107 Jose R. Rebolledo,m.d.,p.a. Pediatrics 343 W Houston St, Suite 811, San Antonio, TX 78205-2107 2010-04-02
1588995609 Hugo Castaneda Md Pa Internal Medicine 343 W Houston St, Suite 310, San Antonio, TX 78205-2107 2010-01-29
1316277270 Ernesto Hernandez Md Pa Obstetrics & Gynecology 343 W Houston St, #312, San Antonio, TX 78205-2107 2009-12-28
1295064780 R. Bala, M.d. P. A. Surgery 343 W Houston St, Suite 1002, San Antonio, TX 78205-2268 2009-12-14
1477886497 Usrc Downtown San Antonio LLC Clinic/Center 343 W Houston St, Ste 209, San Antonio, TX 78205-2107 2009-09-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144862947 Xeras Medical Technologies, Inc. Durable Medical Equipment & Medical Supplies 315 E. Commerce Street Suite 203, San Antonio, TX 78205 2019-10-13
1538631676 Olga Skirda Physician Assistant 610 North Main Avenue, San Antonio, TX 78205 2018-12-31
1508381757 Davis Vision Inc Eyewear Supplier (Equipment, not the service) 175 E Houston, San Antonio, TX 78205 2017-08-09
1841647138 Karen Tanguma Counselor 700 North St. Mary's Street, Suite 1400, San Antonio, TX 78205 2016-05-17
1346652500 Lone Star Script Care LLC Case Management 310 S. S Mary's St, 1290, San Antonio, TX 78205 2014-05-22
1821227919 Teresa Yanhong Chen Optometrist 175 East Houston St, Visionworks, San Antonio, TX 78205 2009-07-09
1164650735 Mark Joseph Trevino Ophthalmology 414 Navarro St Ste 400, San Antonio, TX 78205 2009-06-23
1386882520 Nicolas A. Melgarejo Internal Medicine 343 W. Houston St., Suite #808, San Antonio, TX 78205 2009-01-26
1518135904 Khan Z Shirani Emergency Medicine 414 Navarro St Ste 500, San Antonio, TX 78205 2008-02-19
1619076700 Candace Lynese Bellamy Family Medicine 221 3rd St. West, San Antonio, TX 78205 2006-09-22
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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City SAN ANTONIO
Zip Code 78205

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Dataset Information

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.

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