KIDNEY AND HYPERTENSION CENTER INC (NPI# 1306944871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306944871 |
| Entity Type | Organization |
| Organization Name | KIDNEY AND HYPERTENSION CENTER INC |
| Practice Address |
4600 Montgomery Rd Ste 105 Cincinnati OH 45212-2697 |
| Practice Telephone | 5134875305 |
| Practice Fax Number | 5134875317 |
| Mailing Telephone | 5134875305 |
| Mailing Fax Number | 5134875317 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-01-06 |
| Authorized Official Name | PATRICK J. BUTLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5134875305 |
| 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 | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65929697 | 05 | |
| OH | 2038164 | 05 | |
| KY | MEDICARE RAILROAD | CN4720 | 01 |
| OH | MEDICARE RAILROAD | CN4719 | 01 |
| OH | MEDICARE PTAN | 9290601 | 01 |
| Street Address |
4600 MONTGOMERY RD STE 105 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45212-2697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700861234 | Mindi Gardner | Nurse Practitioner | 4600 Montgomery Rd, Ste 105, Cincinnati, OH 45212-2697 | 2005-12-07 |
| 1063600328 | Saud Butt | Internal Medicine | 4600 Montgomery Rd, Suite 105, Cincinnati, OH 45212-2697 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013568930 | Kelly Diane Weber | Social Worker | Va Behavioral Health and Wellness Center, 4600 Smith Road, Norwood, OH 45212 | 2019-09-23 |
| 1629566039 | Jessica Lee Eckstein | Nurse Practitioner | 4805 Montgomery Rd Ste 154, Cincinnati, OH 45212 | 2018-05-01 |
| 1578092847 | Kerry Ellen Ragland | Counselor | 2300 Wall Street, Cincinnati, OH 45212 | 2017-06-08 |
| 1912256454 | Helen Virginia Blackshire | Occupational Therapy Assistant | 4750 Wesley Avenue Suite J, Cincinnati, OH 45212 | 2012-08-30 |
| 1902154933 | Shelby Davis Lewis | Social Worker | 4750 Wesley Avenue, Suite J, Cincinnati, OH 45212 | 2012-08-23 |
| 1366727133 | Kelly Gray | Pharmacist | 4605 Montgomery Road, Norwood, OH 45212 | 2011-10-12 |
| 1588981351 | Stephen M Zitelli | Family Medicine | 1775 Lexington Ave, Cincinnati, OH 45212 | 2010-05-03 |
| 1699952416 | David William Barr | Marriage & Family Therapist | 4301 Smith Road, Cincinnati, OH 45212 | 2008-01-23 |
| 1780704718 | Douglas A Dix | Dentist | 5451 Montgomery Road, Cincinnati, OH 45212 | 2007-03-31 |
| 1376615104 | Orthopedic Diagnostic & Treatment Ctr Inc | Orthopaedic Surgery | 4600 Smith Road, Suite B, Norwood, OH 45212 | 2006-11-15 |
| Find all providers in zip 45212 | ||||
| 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 |
|---|---|---|---|---|
| 1205280906 | Rtr Nephrology | Internal Medicine | 7600 Affinity Place, Cincinnati, OH 45231-3535 | 2016-04-19 |
| 1417364712 | Tarun Mittal | Internal Medicine | Univ of Cincinnati Division of Nephrology, 231 Albert Sabin Way, Cincinnati, OH 45267-0585 | 2014-07-18 |
| 1407012842 | Dr Jennifer Munson Kidney Care Specialist LLC | Internal Medicine | 11397 Terwillingers Creek Drive, Cincinnati, OH 45249 | 2008-08-05 |
| 1629297551 | Bhupesh Khadka | Internal Medicine | 4435 Aicholtz Rd Ofc 800c, Cincinnati, OH 45245-2038 | 2007-04-25 |
| 1891724191 | Nephrology and Hypertension | Internal Medicine | 2540 Kipling Ave, Suite 110, Cincinnati, OH 45239 | 2006-07-01 |
| 1578563284 | Mt. Auburn Nephrology, Inc. | Internal Medicine | 8251 Pine Road, Suite 212, Cincinnati, OH 45236 | 2005-07-22 |
| 1003816729 | Loren H Cohen | Internal Medicine | 4750 E Galbraith Rd Ste 103, Cincinnati, OH 45236-6706 | 2005-07-22 |
| 1417458175 | Prakash S Gudsoorkar | Internal Medicine | 234 Goodman St, Cincinnati, OH 45219-2364 | 2018-02-27 |
| 1053721654 | Niralee Patel | Internal Medicine | 234 Goodman St, Cincinnati, OH 45219-2364 | 2014-05-05 |
| 1003247461 | Oki Kidney Care, LLC | Internal Medicine | 4760 E Galbraith Rd, Ste 217, Cincinnati, OH 45236-6703 | 2013-12-10 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45212 |
Please comment or provide details below to improve the information on KIDNEY AND HYPERTENSION CENTER INC.
| 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.