RENAL ASSOCIATES OF ALABAMA, LLC (NPI# 1447742168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447742168 |
| Entity Type | Organization |
| Organization Name | RENAL ASSOCIATES OF ALABAMA, LLC |
| Practice Address |
1510 Eastern Blvd Montgomery AL 36117-1629 |
| Mailing Address |
6228 Bradley Park Dr Ste A Columbus GA 31904-3605 |
| Practice Telephone | 7063221486 |
| Practice Fax Number | 7063243419 |
| Mailing Telephone | 7063221486 |
| Mailing Fax Number | 7063243419 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |
| Authorized Official Name | MR. FERDINAND Q ALCAIDE (OWNER/PARTNER) |
| Authorized Official Telephone | 7063221486 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
1510 EASTERN BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689176711 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1510 Eastern Blvd, Montgomery, AL 36117-1629 | 2018-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| 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 |
|---|---|---|---|---|
| 1285638247 | Robert Boyd Hoit Jr. | Internal Medicine | 4760 Woodmere Blvd, Montgomery, AL 36106-3065 | 2005-06-08 |
| 1477111268 | Kidney and Hypertension Specialists of Alabama, Pllc | Internal Medicine | 544 S Mcdonough St, Montgomery, AL 36104-4614 | 2019-06-05 |
| 1578819546 | Sumeet Munjal | Internal Medicine | 4760 Woodmere Blvd, Montgomery, AL 36106-3065 | 2012-07-27 |
| 1962629915 | Kim Rudolph Mcglothan | Internal Medicine | 4760 Woodmere Blvd, Montgomery, AL 36106-3065 | 2007-04-19 |
| 1841380284 | Jogy Varghese | Internal Medicine | 4163 Lomac St, Montgomery, AL 36106-2881 | 2006-10-14 |
| 1922198373 | Central Alabama Kidney and Hypertension Center, P.C. | Internal Medicine | 4163 Lomac St, Montgomery, AL 36106-2881 | 2006-10-14 |
| 1962592303 | Radha Krishna Krothapalli | Internal Medicine | 4163 Lomac St, Montgomery, AL 36106-2881 | 2006-10-14 |
| 1902911670 | Avinash C Pradhan | Internal Medicine | 215 Perry Hill Rd, Cavhcs, Montgomery, AL 36109-3725 | 2006-08-20 |
| 1881659423 | Renal Associates of Montgomery, P.C. | Internal Medicine | 4760 Woodmere Blvd, Montgomery, AL 36106-3065 | 2006-04-18 |
| 1649276650 | Gerald Van Jones | Internal Medicine | 4760 Woodmere Blvd, Montgomery, AL 36106-3065 | 2005-06-23 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
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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.