MEDICINE AND NEPHROLOGY CLINIC LLC (NPI# 1427509751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427509751 |
| Entity Type | Organization |
| Organization Name | MEDICINE AND NEPHROLOGY CLINIC LLC |
| Practice Address |
700 W Central Ave Ste 206 El Dorado KS 67042-2186 |
| Practice Telephone | 3164525455 |
| Practice Fax Number | 3163210503 |
| Mailing Telephone | 3164525455 |
| Mailing Fax Number | 3163210503 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-11-01 |
| Authorized Official Name | DR. NDUBUEZE FIDELIS OKONKWO (OWNER) |
| Authorized Official Telephone | 3164525455 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1972118 | 05 |
| Street Address |
700 W CENTRAL AVE STE 206 |
| City | EL DORADO |
| State | KS |
| Zip Code | 67042-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699308882 | Physical Therapy At Fho LLC | Physical Therapist | 700 W Central Ave Ste 206, El Dorado, KS 67042-2186 | 2020-02-17 |
| 1225673874 | Pain At Fho LLC | Nurse Anesthetist, Certified Registered | 700 W Central Ave Ste 206, El Dorado, KS 67042-2186 | 2019-11-07 |
| 1255984449 | Bridget Leann Howard | Nurse Practitioner | 700 W Central Ave Ste 206, El Dorado, KS 67042-2186 | 2019-07-17 |
| 1174037360 | Jordan Taylor Biel | Physician Assistant | 700 W Central Ave Ste 206, El Dorado, KS 67042-2186 | 2017-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
| 1902262355 | Lisbeth Leiber | Nurse Practitioner | 1737 Se Hwy 54, El Dorado, KS 67042 | 2016-01-14 |
| 1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
| 1962608893 | South Central Mental Health Counseling Center Inc | Social Worker | 120 S Gordy, 3, El Dorado, KS 67042 | 2007-06-26 |
| 1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
| 1548388598 | Richard Alan Burton | Dentist | 310 Oil Hill Road, El Dorado, KS 67042 | 2007-03-27 |
| 1710002472 | Tender Care Pediatrics Pa | Pediatrics | 700 W. Central Ave, Ste 210, El Dorado, KS 67042 | 2007-03-20 |
| Find all providers in zip 67042 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1417969478 | Joseph A Deluca | Internal Medicine | 620 W Grove St Ste 202, El Dorado, AR 71730-4425 | 2006-08-11 |
| 1184631798 | Pamela Jean Schonefeld | Internal Medicine | 815 Thompson Ave, Medical Center of South Arkansas-adult Medicine, El Dorado, AR 71730-4464 | 2006-08-03 |
| 1558321752 | South Arkansas Physician Services, LLC | Internal Medicine | 714 W Faulkner St, El Dorado, AR 71730-4598 | 2006-03-23 |
| 1750373395 | Richard Worth Peckham | Internal Medicine | 715 N College Ave, El Dorado, AR 71730-4403 | 2005-08-19 |
| 1710439203 | Allison J. Sollo, P.a. | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2016-10-31 |
| 1750728838 | Allison J Sollo | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2013-05-29 |
| 1184905655 | Alejandro A Vega Md Pa | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2011-08-29 |
| 1619298692 | Brenda Schewe, P.a. | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2010-06-14 |
| 1831209261 | Matthew Moll | Internal Medicine | 720 W Central Ave, El Dorado, KS 67042 | 2006-08-30 |
| 1245253061 | Kyle Milton Tipton | Internal Medicine | 700 W Central Ave, Suite 201, El Dorado, KS 67042-2184 | 2006-07-25 |
| Find all providers in EL DORADO | ||||
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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.