NEPHROLOGY CLINIC PC (NPI# 1235761735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235761735 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY CLINIC PC |
| Other Organization Name | THE NEPHROLOGY CLINIC |
| Practice Address |
620 Iris Dr Sterling CO 80751-4716 |
| Mailing Address |
1600 Specht Point Rd Ste 127 Fort Collins CO 80525-4311 |
| Practice Telephone | 9704937733 |
| Mailing Telephone | 9704937733 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | TOBEY J. MIKULA (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9704937733 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEPHROLOGY CLINIC PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Nephrology Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872843 | Nephrology Clinic PC | Clinic/Center | 8229 W 20th St, Greeley, CO 80634-3040 | 2020-02-12 |
| 1023640513 | Nephrology Clinic PC | Clinic/Center | 2988 Ginnala Dr, Loveland, CO 80538-2701 | 2020-02-12 |
| 1316120991 | Nephrology Clinic PC | Clinic/Center | 3116 Willet Dr, Laramie, WY 82072 | 2007-12-06 |
| 1467084939 | Nephrology Clinic PC | Clinic/Center | 1600 Specht Point Rd Ste 127, Fort Collins, CO 80525-4311 | 2020-02-12 |
| 1497387997 | Nephrology Clinic PC | Clinic/Center | 1000 Lincoln St, Fort Morgan, CO 80701-3290 | 2020-02-12 |
| 1942297742 | Nephrology Clinic PC | Internal Medicine | 1600 Specht Point Rd, Suite 127, Ft Collins, CO 80525-4311 | 2005-10-05 |
| Street Address |
620 IRIS DR |
| City | STERLING |
| State | CO |
| Zip Code | 80751-4716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932105186 | Richard Charles Lamb | Internal Medicine | 620 Iris Dr, Sterling, CO 80751-4716 | 2005-06-22 |
| 1780204800 | Poudre Valley Medical Group, LLC | Internal Medicine | 620 Iris Dr, Sterling, CO 80751-4716 | 2020-04-18 |
| 1053930115 | Poudre Valley Medical Group, LLC | Otolaryngology | 620 Iris Dr, Sterling, CO 80751-4716 | 2020-04-09 |
| 1104282755 | Nicole M Showalter | Physician Assistant | 620 Iris Dr, Sterling, CO 80751-4716 | 2016-01-12 |
| 1083032817 | Daniel Lambrecht | Internal Medicine | 620 Iris Dr, Sterling, CO 80751-4716 | 2014-03-29 |
| 1215246442 | Dianna Haas | Counselor | 620 Iris Dr, Sterling, CO 80751-4716 | 2010-10-05 |
| 1104133073 | Poudre Valley Medical Group, LLC | Internal Medicine | 620 Iris Dr, Sterling, CO 80751-4716 | 2010-09-13 |
| 1124200696 | High Country Internal Medicine, P.C. | Internal Medicine | 620 Iris Dr, Sterling, CO 80751-4716 | 2007-11-27 |
| 1639398357 | Jeanne Ann Davis | Nurse Practitioner | 620 Iris Dr, Sterling, CO 80751-4716 | 2007-04-24 |
| 1689643900 | Thomas Howard Soper | Internal Medicine | 620 Iris Dr, Sterling, CO 80751-4716 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557915 | Advantage Treatment Centers Inc | Clinic/Center | 12220 Hwy 61, Sterling, CO 80751 | 2020-01-21 |
| 1477018786 | Elizabeth Broadwell | Nurse Practitioner | 12101 Co-61, Sterling, CO 80751 | 2019-01-31 |
| 1396102794 | Jamie Soucie | Counselor | 330 W. Maint St. Ste B, Sterling, CO 80751 | 2016-01-15 |
| 1023487469 | Tappy Health & Wellness, Inc. | Physical Therapist | 309 S Railway St, Sterling, CO 80751 | 2015-09-16 |
| 1033465257 | Patricia Carol Smith | Physical Therapist | 100 Broadway St. Suite 24, Sterling, CO 80751 | 2012-07-25 |
| 1770855900 | Total Renal Care Inc | Clinic/Center | 603 Holly Dr, Sterling, CO 80751 | 2012-02-03 |
| 1609172782 | Keyna I Schlup | Family Medicine | 428 S 2nd St, Sterling, CO 80751 | 2011-02-07 |
| 1871811604 | Alexis Balstad | Obstetrics & Gynecology | 1405 S 8th Ave Suite 105, Sterling, CO 80751 | 2010-05-04 |
| 1770705659 | Donna Bishop Davis | Marriage & Family Therapist | 228 South Third Street, Suite 1, Sterling, CO 80751 | 2007-05-02 |
| 1659406338 | Kimberly Ann Suter | Dentist | 617 W Main Street, Sterling, CO 80751 | 2007-02-22 |
| Find all providers in zip 80751 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1285248054 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 2635 N 7th St Ste 20, Grand Junction, CO 81501-8209 | 2020-08-31 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.