MY KIDNEY CARE, LLC (NPI# 1235611484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235611484 |
| Entity Type | Organization |
| Organization Name | MY KIDNEY CARE, LLC |
| Practice Address |
301 S Lake St Ste B Farmington NM 87401-5603 |
| Practice Telephone | 5052788575 |
| Mailing Telephone | 5052788575 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |
| Authorized Official Name | MANISH PANDYA (OWNER) |
| Authorized Official Telephone | 5057167887 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MY KIDNEY CARE, LLC | 301 S Lake St Ste B, Farmington, NM 87401-5603 |
| Street Address |
301 S LAKE ST STE B |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326145392 | Manish Pandya | Internal Medicine | 301 S Lake St Ste B, Farmington, NM 87401 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| 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 |
|---|---|---|---|---|
| 1720185788 | Mark Bevan | Internal Medicine | 812 W Maple St, Farmington, NM 87401-5631 | 2006-09-20 |
| 1326145392 | Manish Pandya | Internal Medicine | 301 S Lake St Ste B, Farmington, NM 87401 | 2006-09-20 |
| 1912004904 | Neil Collinge | Internal Medicine | 622 W Maple St Ste H, Farmington, NM 87401-6589 | 2006-09-20 |
| 1326057480 | Amin Nephrology and Hypertension Specialists, Inc | Internal Medicine | 1370 W. Liberty, Farmington, MO 63640 | 2006-08-07 |
| 1851325534 | Mohammad Zaheer Amin | Internal Medicine | 703 Maple Valley Dr, Farmington, MO 63640-1944 | 2006-07-10 |
| 1912435736 | Deep S Phachu | Internal Medicine | 263 Farmington Avenue, Uconn Health - Graduate Medical Education, Farmington, CT 06030-1921 | 2017-05-24 |
| 1194166280 | Franklin Lam | Internal Medicine | 812 W Maple St, Farmington, NM 87401-5631 | 2013-07-17 |
| 1942472352 | Yanlin Wang | Internal Medicine | 263 Farmington Avenue, Farmington, CT 06030 | 2008-03-25 |
| 1376720912 | Ruchir Dhirajlal Trivedi | Internal Medicine | 263 Farmington Ave, Nephrology Dept., Farmington, CT 06030-3835 | 2008-01-25 |
| 1568644862 | State of Connecitut Health Center | Internal Medicine | 263 Farmington Ave, Nephrology Associates, Farmington, CT 06030-0001 | 2007-11-29 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on MY KIDNEY CARE, LLC.
| 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.