KIDNEY AND HYPERTENSION CENTER OF WABASH VALLEY, LLC (NPI# 1396182788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396182788 |
| Entity Type | Organization |
| Organization Name | KIDNEY AND HYPERTENSION CENTER OF WABASH VALLEY, LLC |
| Practice Address |
1801 N 6th St Suite # 200 Terre Haute IN 47804-4086 |
| Practice Telephone | 8122384708 |
| Mailing Telephone | 8122384708 |
| Enumeration Date | 2013-05-27 |
| Last Update Date | 2014-04-24 |
| Authorized Official Name | KUMAR GAURAV (VICE PRESIDENT) |
| Authorized Official Telephone | 8122449104 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
01067346A | IN | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | KIDNEY AND HYPERTENSION CENTER OF WABASH VALLEY, LLC | 4059 Driver Ct, Terre Haute, IN 47802 |
| Street Address |
1801 N 6TH ST SUITE # 200 |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47804-4086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588655062 | Ruthann Y Mishler | Advanced Practice Midwife | 1801 N 6th St, Suite 200, Terre Haute, IN 47804-4086 | 2005-11-02 |
| 1972156990 | Shannon Elise Brisbin | Physician Assistant | 1801 N 6th St, Terre Haute, IN 47804-4086 | 2019-07-18 |
| 1710377676 | Sylvia Middaugh | Dietitian, Registered | 1801 N 6th St, Suite 600, Terre Haute, IN 47804-4086 | 2015-01-30 |
| 1871902106 | Julie Rehmel | Registered Nurse | 1801 N 6th St, Terre Haute, IN 47804-4086 | 2014-08-12 |
| 1225461064 | Janice Croft | Counselor | 1801 N 6th St, Suite 700, Terre Haute, IN 47804-4086 | 2013-08-15 |
| 1609044098 | Hand Surgery Associates of Indiana Inc | Durable Medical Equipment & Medical Supplies | 1801 N 6th St, Suite 300, Terre Haute, IN 47804-4086 | 2008-02-19 |
| 1285823518 | Deborah Leigh Stevens | Counselor | 1801 N 6th St, St 200, Terre Haute, IN 47804-4086 | 2007-10-23 |
| 1427258524 | Kathleen Stienstra, Md,pc | Family Medicine | 1801 N 6th St, Suite 600, Terre Haute, IN 47804-4086 | 2007-07-18 |
| 1730201096 | Kumar Gaurav | Internal Medicine | 1801 N 6th St, Suite # 200, Terre Haute, IN 47804-4086 | 2007-04-05 |
| 1043340714 | Bethel C Bose | Advanced Practice Midwife | 1801 N 6th St, Suite 200, Terre Haute, IN 47804-4086 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971885 | Tiffany Marshall | Physical Therapist | North At Uap Bone & Joint Center, Lower Level 1725 North 5th Street, Terre Haute, IN 47804 | 2017-09-29 |
| 1336565423 | Deondra Allison Cottrill | Physical Therapy Assistant | 1725 N. 5th Street, Union Hospital Therapy Services, Terre Haute, IN 47804 | 2014-03-13 |
| 1043635170 | Patricia Klos | Physical Therapy Assistant | 1606 Nth 7th Street, Terre Haute, IN 47804 | 2014-02-26 |
| 1043565476 | Debra Denehie Hills | Registered Nurse | 620 8th Avenue, Terre Haute, IN 47804 | 2012-07-23 |
| 1841503257 | Meredeth Su Gray | Dentist | 1608 Lafayette Avenue, Terre Haute, IN 47804 | 2010-07-15 |
| 1083946628 | John Barton, Lpt | Health Maintenance Organization | 1818 N 3rd Street, Terre Haute, IN 47804 | 2010-02-08 |
| 1750584009 | Kool Smiles In-3, PC | Dentist | 1800 Fort Harrison Rd, Terra Haute, IN 47804 | 2007-06-06 |
| 1619006988 | Union Hospital Inc | Student in an Organized Health Care Education/Training Program | 1513 N 6 1-2 Street, Terre Haute, IN 47804 | 2007-03-05 |
| 1730243080 | John Lee Nichols | Dentist | 1246 Maple Ave, Terre Haute, IN 47804 | 2006-12-21 |
| 1093894057 | Isaac N Mitre | Obstetrics & Gynecology | 1623 N 4th Street, Terre Haute, IN 47804 | 2006-11-02 |
| Find all providers in zip 47804 | ||||
| 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 |
|---|---|---|---|---|
| 1386691459 | Kidney and Hypertension Center of Indiana, PC | Internal Medicine | 3740 S 4th St, Terre Haute, IN 47802-5507 | 2006-05-27 |
| 1497729818 | Manish Gera | Internal Medicine | 1625 N 4th St, Terre Haute, IN 47804-4067 | 2006-02-14 |
| 1730201096 | Kumar Gaurav | Internal Medicine | 1801 N 6th St, Suite # 200, Terre Haute, IN 47804-4086 | 2007-04-05 |
| 1083662779 | Internal Medicine Nephrology, Inc. | Internal Medicine | 1625 N 4th St, Terre Haute, IN 47804-4067 | 2006-05-04 |
| 1851349682 | Raj Jeevan | Internal Medicine | 1625 N 4th St, Terre Haute, IN 47804-4067 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225684368 | Fort Wayne Vascular Care LLC | Internal Medicine | 1833 Magnavox Way # 100, Fort Wayne, IN 46804-1539 | 2019-08-14 |
| 1952962516 | Rafael Juan Igartua | Internal Medicine | 1450 Solemar Dr, West Lafayette, IN 47906-8867 | 2019-06-25 |
| 1215463955 | William Louis Macias | Internal Medicine | 9129 Log Run Dr S, Indianapolis, IN 46234-1343 | 2017-05-01 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1679924013 | Peter Eloho Umukoro | Internal Medicine | 950 W Walnut St Rm 202, Indianapolis, IN 46202 | 2016-06-27 |
| 1124423546 | Beacon Medical Group, Inc. | Internal Medicine | 100 Navarre Pl Ste 4400, South Bend, IN 46601-1100 | 2014-10-28 |
| 1619309317 | Kevin Joseph Lavelle | Internal Medicine | 621 First Ave. N.e., Carmel, IN 46032 | 2013-08-05 |
| 1215270897 | Lori Wanko | Internal Medicine | 8205 E 56th St Ste 250, Indianapolis, IN 46216-1097 | 2013-04-01 |
| 1326319724 | Robert Wayne Dettmer | Internal Medicine | 2935 Ambleside Way, Fort Wayne, IN 46804-2443 | 2012-01-18 |
| 1265747703 | Yasser Aldurra | Internal Medicine | 8330 Naab Rd Ste 234, Indianapolis, IN 46260-1932 | 2010-08-09 |
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| City | TERRE HAUTE |
| Zip Code | 47804 |
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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.