DR. KOITHARA VARKEY THOMAS (NPI# 1265474209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265474209 |
Entity Type | Individual |
Full Name | DR. KOITHARA VARKEY THOMAS |
Credential | M.D. |
Practice Address |
Eastern Nephrology Associates 277 Memorial Drive Jacksonville NC 28546-6333 |
Mailing Address |
277 Memorial Drive Jacksonville NC 28546-6333 |
Practice Telephone | 9103462263 |
Practice Fax Number | 9103530549 |
Mailing Telephone | 9103439800 |
Mailing Fax Number | 9103438650 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2020-10-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
200300295 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 89134WE | 05 | |
NC | UNITED HEALTH CARE | 1587680 | 01 |
NC | BC/BS-NC INDIVIDUAL # | 134WE | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
52 Office Park Dr, Suite A, Jacksonville, NC 285463217 | 9103462263 | 9103530549 |
Street Address |
EASTERN NEPHROLOGY ASSOCIATES 277 MEMORIAL DRIVE |
City | JACKSONVILLE |
State | NC |
Zip Code | 28546-6333 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
Find all providers in zip 28546 |
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 |
---|---|---|---|---|
1629499090 | Pro-med Collectors LLC | Internal Medicine | 1907 Atlantic Blvd, Jacksonville, FL 32207-3466 | 2014-01-02 |
1821275330 | Nephrology Consultants of Jacksonville LLC | Internal Medicine | 3129 Hendricks Ave, Jacksonville, FL 32207-4217 | 2008-01-28 |
1457455719 | Andrew Wasiluk | Internal Medicine | 3129 Hendricks Avenue, Jacksonville, FL 32207-4217 | 2006-09-08 |
1811924210 | Naeem Haider | Internal Medicine | 3599 University Blvd So, Suite 805, Jacksonville, FL 32216 | 2006-06-28 |
1457917304 | Cardiorenal Therapeutics LLC | Internal Medicine | 6817 Southpoint Pkwy Ste 203, Jacksonville, FL 32216-6286 | 2019-05-16 |
1619434586 | Md. Irtiza Hasan | Internal Medicine | 655 W 8th St Fl 4, Jacksonville, FL 32209-6511 | 2019-02-26 |
1578058939 | Nephrology Consultants of Jacksonville LLC | Internal Medicine | 3129 Hendricks Ave, Jacksonville, FL 32207-4217 | 2018-06-28 |
1396283628 | A Abdalla, Inc | Internal Medicine | 5685 Norwood Ave, Jacksonville, FL 32208-5012 | 2017-02-07 |
1982141412 | Universal Kidney Care LLC | Internal Medicine | 10752 Deerwood Park Blvd Ste 100, Jacksonville, FL 32256-4846 | 2017-01-23 |
1629439740 | Mahnoor Khan | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2016-03-16 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 28546 |
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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.