NTKC MANAGEMENT, LLC (NPI# 1447492756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447492756 |
| Entity Type | Organization |
| Organization Name | NTKC MANAGEMENT, LLC |
| Other Organization Name | NORTH TEXAS KIDNEY CONSULTANTS |
| Practice Address |
3900 Junius Street Suite 615 Dallas TX 75246 |
| Mailing Address |
3030 Matlock Road Suite 205 Arlington TX 76015 |
| Practice Telephone | 9723885970 |
| Practice Fax Number | 9723885971 |
| Mailing Telephone | 8173750610 |
| Mailing Fax Number | 8173750640 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |
| Authorized Official Name | MR. DAN BACCUS (COO) |
| Authorized Official Telephone | 8173750610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Texas Kidney Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457543902 | Ntkc Management, LLC | Internal Medicine | 1049 Clifton St, Fort Worth, TX 76107-2628 | 2007-08-17 |
| 1063654515 | Ntkc Management, LLC | Internal Medicine | 805 Hill Blvd, Suite 102, Granbury, TX 76048-1481 | 2009-03-30 |
| 1891948683 | Ntkc Management, LLC | Internal Medicine | 1601 Lancaster Dr, Suite 20c, Grapevine, TX 76051-2109 | 2008-10-24 |
| 1376735829 | Ntkc Management, LLC | Internal Medicine | 1600 W College St, Suite 410, Grapevine, TX 76051-3580 | 2007-08-17 |
| 1083806533 | Ntkc Management, LLC | Internal Medicine | 4351 Booth Calloway Rd, Suite 404, North Richland Hills, TX 76180-7378 | 2007-08-17 |
| 1740472299 | Ntkc Management, LLC | Internal Medicine | 4708 Alliance Blvd, Suite 600, Plano, TX 75093-5340 | 2007-08-17 |
| 1518159052 | Ntkc Management, LLC | Internal Medicine | 3515 Swiss Ave, Second Floor, Dallas, TX 75204-6223 | 2007-08-17 |
| 1598957037 | Ntkc Management, LLC | Internal Medicine | 530 Clara Barton Blvd, Suite 200, Garland, TX 75042-5703 | 2007-08-17 |
| 1588856033 | Ntkc Management, LLC | Internal Medicine | 601 Westpark Way, Euless, TX 76040-3972 | 2007-08-17 |
| 1790977411 | Ntkc Management, LLC | Internal Medicine | 3030 Matlock Rd, Suite 205, Arlington, TX 76015-2935 | 2007-08-16 |
| Street Address |
3900 JUNIUS STREET SUITE 615 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| 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 |
|---|---|---|---|---|
| 1013424860 | Farahat and Associates Pllc | Internal Medicine | 7475 La Vista Dr Apt 1834, Dallas, TX 75214-4132 | 2018-01-02 |
| 1205199619 | Muthanna Mohammad Saraireh | Internal Medicine | 3600 Gaston Ave Ste 904, Dallas, TX 75246-1809 | 2012-06-20 |
| 1053686121 | Lucile Parker Gregg | Internal Medicine | Ut Southwestern Medical Center Nephrology, 5323 Harry Hines Blvd, Dallas, TX 75390-8516 | 2012-03-21 |
| 1164791398 | Kidney and Hypertension Associates of Dallas Pllc | Internal Medicine | 3900 Junius St Ste 615, Dallas, TX 75246-1615 | 2011-12-16 |
| 1548573587 | Mamatha Racheruvu | Internal Medicine | 3571 W Wheatland Rd # 101, Dallas, TX 75237-3461 | 2010-07-20 |
| 1689994956 | Paul Cespedes | Internal Medicine | 7777 Forest Ln Ste C865, Dallas, TX 75230 | 2010-06-09 |
| 1407055155 | Ala'a Farahat | Internal Medicine | 3822 Brown St, Dallas, TX 75219-4014 | 2007-07-13 |
| 1295856003 | Kamalanthan Kolandavelu Sambandam | Internal Medicine | 5939 Harry Hines Suite 700, Dallas, TX 75390 | 2007-04-02 |
| 1033268354 | Soon Chao S Ong | Internal Medicine | 5050 Quorum Dr Ste 700, Dallas, TX 75254-1410 | 2007-01-09 |
| 1982784708 | Saghar Susan Hedayati | Internal Medicine | University of Texas Southwestern 5959 Harry Hines Blvd, Dallas, TX 75390 | 2006-10-16 |
| Find all providers in DALLAS | ||||
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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.