NEPHROLOGY PHYSICIANS, LLC (NPI# 1518996719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518996719 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY PHYSICIANS, LLC |
| Practice Address |
710 Park Place Mishawaka IN 46545-3519 |
| Mailing Address |
Po Box 5909 Portland OR 97228-5909 |
| Practice Telephone | 5742736767 |
| Practice Fax Number | 5749687160 |
| Mailing Telephone | 5742736787 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | DR. JAMES PORILE (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5742736787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200241320A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 250 E Day Rd Ste 300, Mishawaka, IN 465453471 | 5742736787 |
| Street Address |
710 PARK PLACE |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922008796 | James L Porile | Internal Medicine | 710 Park Place, Mishawaka, IN 46545-3519 | 2005-07-22 |
| 1073513883 | Nephrology Inc | Clinic/Center | 710 Park Place, Mishawaka, IN 46545-3519 | 2005-07-22 |
| 1407856271 | Samuel Lymon Milligan | Internal Medicine | 710 Park Place, Mishawaka, IN 46545-3519 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496432 | David F. Sonego | Specialist | 230 E Day Rd, # 160, Mishawaka, IN 46545-3463 | 2005-06-10 |
| 1205976560 | Margaret A Walter Md PC | Specialist | 15011 Day Road, Mishawaka, IN 46545 | 2007-02-07 |
| 1801988027 | Michael Englert | Specialist | 611 E Douglas Rd, Suite 305, Mishawaka, IN 46545-1464 | 2006-09-28 |
| 1588756712 | Paula Toth-russell | Specialist | 611 E Douglas Rd, Suite 305, Mishawaka, IN 46545-1464 | 2006-09-28 |
| 1376578310 | Ajit V Pai Md | Specialist | 3212 Hickory Rd, Suite B, Mishawaka, IN 46545-8862 | 2006-07-11 |
| 1205809225 | Carole Ann Derucki | Specialist | 611 E Douglas Rd, Suite 305, Mishawaka, IN 46545-1464 | 2006-02-09 |
| 1255316782 | Paul Joseph Guentert | Specialist | 611 E Douglas Rd, Mishawaka, IN 46545-1464 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354274 | Center for Vascular Medicine In LLC | Specialist | 33 E County Line Rd Ste D, Greenwood, IN 46143-1078 | 2020-04-02 |
| 1659903599 | Ann M Samra-theurer | Specialist | 3988 Cobblestone Cv, New Haven, IN 46774-2078 | 2020-02-09 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1508320318 | Andrea Carlson | Specialist | 3570 E Lincoln Hwy, Merrillville, IN 46410-5830 | 2019-01-25 |
| 1144708413 | Inject Health, LLC | Specialist | 1833 N Shadeland Ave, Indianapolis, IN 46219-2735 | 2018-07-30 |
| 1679078398 | Wright Choice Hairquarters | Specialist | 1815 Fox Point Trl Apt 2, Fort Wayne, IN 46816-2450 | 2018-03-26 |
| 1053819458 | Denise Michelle Strom | Specialist | 8620 Purdue Rd, Indianapolis, IN 46268-1114 | 2018-01-31 |
| 1568995785 | Southlake Internal Medicine LLC | Specialist | 928 Mary Ellen Dr, Crown Point, IN 46307-8998 | 2017-04-05 |
| 1679010342 | Kathryn Dittmer | Specialist | 3411 Airport Rd, Portage, IN 46368-5107 | 2017-01-19 |
| 1225581945 | Hossam Eldine Kamal Youssef | Specialist | 7230 Engle Rd Ste 303, Fort Wayne, IN 46804-2227 | 2016-07-28 |
| Find all providers with the same taxonomy | ||||
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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.