SOUTHERN KIDNEY SPECIALISTS, LLC (NPI# 1316481021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316481021 |
| Entity Type | Organization |
| Organization Name | SOUTHERN KIDNEY SPECIALISTS, LLC |
| Practice Address |
1057 Paul Maillard Rd Suite 210 Luling LA 70070-4349 |
| Mailing Address |
Po Box 1800 Luling LA 70070-1800 |
| Practice Telephone | 5047229086 |
| Mailing Telephone | 5047229086 |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2017-03-16 |
| Authorized Official Name | KIMBERLY FREMIN (OWNER) |
| Authorized Official Telephone | 5047229086 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
1057 PAUL MAILLARD RD SUITE 210 |
| City | LULING |
| State | LA |
| Zip Code | 70070-4349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716637 | Hospital Service Dist. No. 1 of The Parish of St. Charles, State of La | Psychiatric Unit | 1057 Paul Maillard Rd, Luling, LA 70070 | 2005-11-11 |
| 1447728019 | Casey A Rahaley | Nurse Practitioner | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2018-11-13 |
| 1942657192 | Jessica L Adams | Registered Nurse | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2016-05-18 |
| 1972957116 | Y'annika Anjane' Edwards | Nurse Practitioner | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2016-04-13 |
| 1619331089 | Asfiya Yunus | Family Medicine | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2016-04-11 |
| 1750767927 | Mindy Gaubert Hymel | Physician Assistant | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2015-08-10 |
| 1447636626 | Nathaly Carrion | Nurse Practitioner | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2015-08-10 |
| 1528446101 | Luling Emergency Group LLC | Physician Assistant | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2015-05-14 |
| 1033506027 | Amber Lewis | Nurse Practitioner | 1057 Paul Maillard Rd, Ste. D-1900, Luling, LA 70070-4349 | 2015-04-17 |
| 1902214133 | Access Health Louisiana | Internal Medicine | 1057 Paul Maillard Rd, Suite 240, Luling, LA 70070-4349 | 2014-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447759337 | Kimberly Brown | Specialist/Technologist, Other | 13755 River Road, Luling, LA 70070 | 2018-02-06 |
| 1093213274 | Cherrelle Monique Williams | Counselor | 999 Paul Fredrick Street, Luling, LA 70070 | 2018-01-23 |
| 1699222174 | Latrenda Williams | Counselor | 203 Paul Maillard Road, Luling, LA 70070 | 2016-09-01 |
| 1184028052 | Matthew M Powers | Physical Therapist | 12371 Hwy 90, Ste D, Luling, LA 70070 | 2014-10-21 |
| 1215343959 | Regional Home Care South,llc | Home Health | 50 Wade Street, Ste 3, Luling, LA 70070 | 2014-07-02 |
| 1902143936 | E. Millman Inc | Social Worker | 13201 River Rd, Lvling, LA 70070 | 2013-01-10 |
| 1225369994 | Slm Nonemergency Medical Transportation | Non-emergency Medical Transport (VAN) | 737 Paul Maillard Road, Luling, LA 70070 | 2010-01-20 |
| 1972753192 | Grace Healthcare Management, LLC | Rehabilitation Hospital | 1125 Paul Maillard Road, Luling, LA 70070 | 2008-09-24 |
| 1528214871 | Monica Vial Benson, M.d., Apmc | Physical Medicine & Rehabilitation | 126 Post Drive, Luling, LA 70070 | 2008-08-18 |
| 1609089002 | Damaris D. Bastian, Dds General Dentistry, LLC | Dentist | 1518 Paul Mallard Rd, Luling, LA 70070 | 2007-05-08 |
| Find all providers in zip 70070 | ||||
| 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 |
|---|---|---|---|---|
| 1548587876 | Kimberly Fremin | Internal Medicine | 1057 Paul Maillard Rd, Suite 210, Luling, LA 70070-4349 | 2010-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114489929 | Cenla Kidney Specialists LLC | Internal Medicine | 6412 Genevieve Dr, Alexandria, LA 71301-2789 | 2019-04-01 |
| 1972060168 | Nni Covington LLC | Internal Medicine | 1970 N Highway 190 Ste A, Covington, LA 70433-5364 | 2019-02-25 |
| 1184178899 | Louisiana Cardiovascular and Nephrology Center of Excellence, LLC | Internal Medicine | 1418 Heather Dr, Opelousas, LA 70570-7716 | 2016-08-10 |
| 1356790596 | Moh'd Ahmed Sharshir | Internal Medicine | 1430 Tulane Ave, #8545, Tulane School of Medicine/nephrology and Hypertension D, New Orleans, LA 70112 | 2016-06-08 |
| 1619324456 | Syed Rizwan Ali Bokhari | Internal Medicine | 1430 Tulane Avenue, #8545, New Orleans, LA 70112 | 2016-05-23 |
| 1508259540 | Rana El Sabbagh | Internal Medicine | 2308 E Main St Ste E, New Iberia, LA 70560-4029 | 2015-03-16 |
| 1346667532 | Michael Charles Touchy II | Internal Medicine | 1542 Tulane Ave Ste 421, New Orleans, LA 70112-2865 | 2014-03-25 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1366714669 | Medicine and Nephrology Clinic of New Orleans LLC | Internal Medicine | 5571 Read Blvd, New Orleans, LA 70127-3103 | 2012-02-01 |
| 1306115175 | Tony W. Leung, M.d. LLC | Internal Medicine | 105 Dr. Michael Debakey Drive, Lake Charles, LA 70606 | 2011-12-22 |
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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.