SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. (NPI# 1265603971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265603971 |
| Entity Type | Organization |
| Organization Name | SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. |
| Other Organization Name | SAKDC |
| Practice Address |
5000 Baptist Health Dr Ste 116 Schertz TX 78154-1193 |
| Mailing Address |
7142 San Pedro Ave Ste 120 San Antonio TX 78216-6256 |
| Practice Telephone | 2109450200 |
| Practice Fax Number | 2105908232 |
| Mailing Telephone | 2104817453 |
| Mailing Fax Number | 2104817463 |
| Enumeration Date | 2008-03-20 |
| 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 |
| Other Name | Type Code |
|---|---|
| SAKDC | Doing Business As Name - Organization |
| 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 |
| Street Address |
5000 BAPTIST HEALTH DR STE 116 |
| City | SCHERTZ |
| State | TX |
| Zip Code | 78154-1193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074737 | Joseph A Lopez | Family Medicine | 5000 Baptist Health Dr, Suite 102, Schertz, TX 78154-1193 | 2005-06-23 |
| 1811342728 | Acmg Pllc | Family Medicine | 5000 Baptist Health Dr, #102, Schertz, TX 78154-1193 | 2016-04-28 |
| 1952764268 | Venkata Kishore Reddy Mukku | Internal Medicine | 5000 Baptist Health Dr, Schertz, TX 78154-1193 | 2016-04-04 |
| 1346626637 | Anne Flores | Physical Therapy Assistant | 5000 Baptist Health Dr, Ste. 102a, Schertz, TX 78154-1193 | 2015-08-10 |
| 1407272834 | Virtuosa, Pllc | Obstetrics & Gynecology | 5000 Baptist Health Dr, #116, Schertz, TX 78154-1193 | 2014-03-10 |
| 1679815591 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 5000 Baptist Health Dr, Suite 102, Schertz, TX 78154-1193 | 2013-03-18 |
| 1841513256 | Cancer Care Network of South Texas Pa | Internal Medicine | 5000 Baptist Health Dr, Ste. 116, Schertz, TX 78154-1193 | 2010-03-12 |
| 1972830354 | San Antonio Orthopaedic Group, LLP | Orthopaedic Surgery | 5000 Baptist Health Dr, Suite 116, Schertz, TX 78154-1193 | 2009-11-05 |
| 1174729560 | Deepa Padia | Family Medicine | 5000 Baptist Health Dr, Ste 102, Schertz, TX 78154-1193 | 2007-06-22 |
| 1831317155 | Rsa - Schertz, LLP | Clinic/Center | 5000 Baptist Health Dr, Suite 124, Schertz, TX 78154-1193 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229256 | Deann Fierro | Counselor | 3728 Hull Sreet, Schertz, TX 78154 | 2020-09-14 |
| 1467097949 | Fresenius Medical Care San Antonio, LLC | Clinic/Center | 1787 Fm 3009, Schertz, TX 78154 | 2019-11-08 |
| 1881237113 | Erica Lizet Scherzinger | Nurse Practitioner | 1205 N Sh 1604 Loop W Frontage Rd, San Antonio, TX 78154 | 2019-10-18 |
| 1831740752 | La'wanda Myers | Social Worker | 19315 Farm To Market Road 2252, Garden Ridge, TX 78154 | 2019-09-23 |
| 1467006619 | Vanessa Biesenbach | Behavior Technician | 133 Windy Meadows, Suite 101, Schertz, TX 78154 | 2019-07-26 |
| 1043874308 | Jessica Gail Rourke | Occupational Therapist | 5700 Schertz Parkway Ste 100, Schertz, TX 78154 | 2019-04-23 |
| 1750871729 | Jenna Kamaile Nurial Dacalio | Behavioral Analyst | 15620 York Lane, Selma, TX 78154 | 2018-05-15 |
| 1235630070 | Ginger Odom | Speech-Language Pathologist | 1600 Shady Brook, Schertz, TX 78154 | 2018-02-27 |
| 1295235588 | Timothy Marcus Egbuka | Pharmacist | 17115 Interstate 35 N Ste 123, Schertz, TX 78154 | 2018-02-14 |
| 1013423110 | Polite Transit LLC | Non-emergency Medical Transport (VAN) | 16222 Horse Brg, Selma, TX 78154 | 2017-12-27 |
| Find all providers in zip 78154 | ||||
| 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 |
|---|---|---|---|---|
| 1982203659 | Nephrology and Hypertension Specialists Pa | Internal Medicine | 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 | 2020-10-22 |
| 1437781960 | Haus Medical Group Pllc | Internal Medicine | 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 | 2020-02-12 |
| 1962040949 | Ngoc-han Thi Tran | Internal Medicine | 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 | 2019-12-20 |
| 1659916617 | Heartland Physicians Associates Nephrology Pllc | Internal Medicine | 150 Pine Forest Dr Ste 501, Shenandoah, TX 77384-5304 | 2019-11-14 |
| 1578106894 | Cardiorenal Therapeutics of North Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 365, Sherman, TX 75092-7393 | 2019-10-18 |
| 1639711534 | Immaculate Vascular Access Center Pllc | Internal Medicine | 349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091 | 2019-10-11 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1841849098 | Austin Kidney Care LLC | Internal Medicine | 2005 Palo Duro Rd, Austin, TX 78757-3242 | 2019-09-10 |
| 1467000828 | Ntkc-dfw, Pllc | Internal Medicine | 2220 Bryan Pl Ste 104, Midlothian, TX 76065-7127 | 2019-08-29 |
| 1306407697 | H&n Medical Investment, LLC | Internal Medicine | 4201 Medical Center Dr. Ste 240, Mckinney, TX 75069-1774 | 2019-06-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C..
| 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.