NEPHROLOGY CLINIC PC (NPI# 1467084939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467084939 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY CLINIC PC |
| Other Organization Name | THE NEPHROLOGY CLINIC |
| Practice Address |
1600 Specht Point Rd Ste 127 Fort Collins CO 80525-4311 |
| Practice Telephone | 9704937733 |
| Mailing Telephone | 9704937733 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | TOBEY J. MIKULA (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9704937733 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEPHROLOGY CLINIC PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Nephrology Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Lincoln St, Fort Morgan, CO 807013290 | 9704937733 | |
| 2988 Ginnala Dr, Loveland, CO 805382701 | 9704937733 | |
| 620 Iris Dr, Sterling, CO 807514716 | 9704937733 | |
| 8229 W 20th St, Greeley, CO 806343040 | 9704937733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872843 | Nephrology Clinic PC | Clinic/Center | 8229 W 20th St, Greeley, CO 80634-3040 | 2020-02-12 |
| 1023640513 | Nephrology Clinic PC | Clinic/Center | 2988 Ginnala Dr, Loveland, CO 80538-2701 | 2020-02-12 |
| 1316120991 | Nephrology Clinic PC | Clinic/Center | 3116 Willet Dr, Laramie, WY 82072 | 2007-12-06 |
| 1235761735 | Nephrology Clinic PC | Clinic/Center | 620 Iris Dr, Sterling, CO 80751-4716 | 2020-02-12 |
| 1497387997 | Nephrology Clinic PC | Clinic/Center | 1000 Lincoln St, Fort Morgan, CO 80701-3290 | 2020-02-12 |
| 1942297742 | Nephrology Clinic PC | Internal Medicine | 1600 Specht Point Rd, Suite 127, Ft Collins, CO 80525-4311 | 2005-10-05 |
| Street Address |
1600 SPECHT POINT RD STE 127 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568621142 | Varsha R Pathak | Internal Medicine | 1600 Specht Point Rd Ste 127, Fort Collins, CO 80525-4311 | 2008-06-09 |
| 1598221921 | Erin J Weber | Nurse Practitioner | 1600 Specht Point Rd Ste 127, Fort Collins, CO 80525-4311 | 2019-02-11 |
| 1245551993 | Priyanka Govindan | Internal Medicine | 1600 Specht Point Rd Ste 127, Fort Collins, CO 80525-4311 | 2010-06-17 |
| 1144549007 | Sara Tavernier Burgardt | Internal Medicine | 1600 Specht Point Rd Ste 127, Fort Collins, CO 80525-4311 | 2010-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| 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 |
|---|---|---|---|---|
| 1568621142 | Varsha R Pathak | Internal Medicine | 1600 Specht Point Rd Ste 127, Fort Collins, CO 80525-4311 | 2008-06-09 |
| 1750437331 | Nilesh Harish Ahuja | Internal Medicine | 1600 Specht Point Road, Suite 127, Fort Collins, CO 80525-4311 | 2007-01-26 |
| 1245551993 | Priyanka Govindan | Internal Medicine | 1600 Specht Point Rd Ste 127, Fort Collins, CO 80525-4311 | 2010-06-17 |
| 1144549007 | Sara Tavernier Burgardt | Internal Medicine | 1600 Specht Point Rd Ste 127, Fort Collins, CO 80525-4311 | 2010-05-18 |
| 1629229620 | Ashwin Kumar Reddy Ganta | Internal Medicine | 1600 Specht Point Rd, Suite 127, Fort Collins, CO 80525-4311 | 2008-10-08 |
| 1093704991 | Jason Lee Merritt | Internal Medicine | 1600 Specht Point Rd, Ste 127, Fort Collins, CO 80525-4311 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851738 | Pikes Peak Nephrology Associates PC | Internal Medicine | 850 Eagleridge Blvd # 100, Pueblo, CO 81008-2148 | 2020-11-04 |
| 1427658277 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1910 Lelaray St, Colorado Springs, CO 80909-2800 | 2020-10-30 |
| 1841890597 | Pikes Peak Nephrology Associates PC | Internal Medicine | 2002 Lelaray St Ste 130, Colorado Springs, CO 80909-2804 | 2020-10-30 |
| 1689274953 | Pikes Peak Nephrology Associates PC | Internal Medicine | 850 Eagleridge Blvd, Pueblo, CO 81008-2148 | 2020-10-27 |
| 1417562943 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 11700 W 2nd Pl Ste 345, Lakewood, CO 80228-1710 | 2020-09-11 |
| 1336754852 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 2655 Crescent Dr Ste D, Lafayette, CO 80026-3373 | 2020-09-11 |
| 1336754860 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 1960 Ken Pratt Blvd Ste B, Longmont, CO 80501-6092 | 2020-09-11 |
| 1285248054 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 2635 N 7th St Ste 20, Grand Junction, CO 81501-8209 | 2020-08-31 |
| 1184261422 | Consultants In Nephrology and Hypertension Professional LLC | Internal Medicine | 2352 Meadows Blvd Ste 250, Castle Rock, CO 80109-8417 | 2019-12-05 |
| 1841728789 | Denver Nephrologists, PC | Internal Medicine | 130 Rampart Way Ste 300a, Denver, CO 80230-6454 | 2017-05-23 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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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.