UPPER VALLEY KIDNEY CLINIC LLC (NPI# 1316046600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316046600 |
| Entity Type | Organization |
| Organization Name | UPPER VALLEY KIDNEY CLINIC LLC |
| Practice Address |
3130 N County Road 25a Suite 101 Troy OH 45373-1337 |
| Mailing Address |
Po Box 734 Troy OH 45373-0734 |
| Practice Telephone | 9373359633 |
| Practice Fax Number | 9373359464 |
| Mailing Telephone | 9373359633 |
| Mailing Fax Number | 9373359464 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-10-02 |
| Authorized Official Name | SAYED ALI (OWNER) |
| Authorized Official Telephone | 9373359633 |
| Authorized Official Credential | MD, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35080974 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
3130 N COUNTY ROAD 25A SUITE 101 |
| City | TROY |
| State | OH |
| Zip Code | 45373-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956772 | Michael Todd Boggs | Family Medicine | 3130 N County Road 25a, Troy, OH 45373-1337 | 2005-07-19 |
| 1417504630 | Kerri Marie Starkey | Massage Therapist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-08-22 |
| 1033762562 | Kara Sue Bruskotter | Nurse Practitioner | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-07-23 |
| 1003477506 | Christine L Asher | Registered Nurse | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-06-25 |
| 1386203966 | Danielle Morgan Wheeler | Physician Assistant | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-06-07 |
| 1881173607 | Alaine C. Kirby | Nurse Practitioner | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-08-13 |
| 1750871075 | Sarah Flora | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-05-11 |
| 1083103667 | Brian Allen Haynes | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-05-09 |
| 1790292191 | Michael E. Barhorst | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-01-08 |
| 1386156115 | Seth Gullett | Nurse Anesthetist, Certified Registered | 3130 N County Road 25a, Troy, OH 45373-1337 | 2017-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| 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 |
|---|---|---|---|---|
| 1326133869 | Joon K Yeo | Internal Medicine | 57 Robin Hood Lane, Troy, OH 45373 | 2006-10-03 |
| 1568459196 | Lawrence A Greenberg | Internal Medicine | 115 E Long Lake Rd, Troy, MI 48085-5524 | 2005-09-29 |
| 1790090439 | Rafia Ishfaq Chaudhry | Internal Medicine | 2215 Burdett Avenue, Troy, NY 12180 | 2010-08-17 |
| 1407018393 | Pooja M Kayi | Internal Medicine | 2215 Burdett Ave, Samaritan Hospital--hospitalist Division, Troy, NY 12180-2466 | 2008-07-01 |
| 1982709903 | Sayed Asad Ali | Internal Medicine | 3130 N County Road 25a, Physicians Office Blding #101, Troy, OH 45373-1337 | 2006-09-14 |
| 1851341580 | Northeast Nephrology Assoc P C | Internal Medicine | 258 Hoosick St, Suite 101, Troy, NY 12180-2444 | 2006-05-11 |
| 1528021318 | Joseph M Roglieri | Internal Medicine | 258 Hoosick St, Suite 101, Troy, NY 12180-2427 | 2006-04-11 |
| 1023089463 | Sundeep S Dhillon | Internal Medicine | 4600 Investment Dr, Ste 290, Troy, MI 48098 | 2006-02-01 |
| 1336110592 | Piti Ratanapanichkich | Internal Medicine | 4600 Investment Dr, Ste 290, Troy, MI 48098 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958500 | Cleveland Kidney Care, LLC | Internal Medicine | 5 Eleven Riv, Rocky River, OH 44116-1777 | 2020-07-02 |
| 1376187880 | Muhammad Tariq Baig | Internal Medicine | 2323 River Oaks Dr, Columbus, OH 43228-9165 | 2019-10-29 |
| 1699233221 | Ideal Vascular Centers LLC | Internal Medicine | 20455 Lorain Rd Ste T1, Fairview Park, OH 44126-3495 | 2019-03-02 |
| 1932677515 | Elizabeth Kidder Grames | Internal Medicine | 2702 Navarre Ave Ste 201, Oregon, OH 43616-3224 | 2018-11-13 |
| 1578057865 | Govani Kidney Care LLC | Internal Medicine | 15644 Madison Ave Ste 211, Lakewood, OH 44107-5622 | 2018-06-19 |
| 1205280906 | Rtr Nephrology | Internal Medicine | 7600 Affinity Place, Cincinnati, OH 45231-3535 | 2016-04-19 |
| 1922477835 | Adult Hypertension and Kidney Specialists LLC | Internal Medicine | 2200 N Limestone Street Suite 114, Springfield, OH 45503-1171 | 2015-09-21 |
| 1144615220 | Mansur Pathan | Internal Medicine | 655 Fox Run Rd Ste C, Findlay, OH 45840-8401 | 2015-04-05 |
| 1417364712 | Tarun Mittal | Internal Medicine | Univ of Cincinnati Division of Nephrology, 231 Albert Sabin Way, Cincinnati, OH 45267-0585 | 2014-07-18 |
| 1457793150 | Vinay Mulkanoor | Internal Medicine | 595 Copeland Mill Rd Ste 2d, Westerville, OH 43081 | 2013-07-23 |
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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.