INDEPENDENT NEPHROLOGY SERVICES, INC. (NPI# 1538113691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538113691 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT NEPHROLOGY SERVICES, INC. |
| Other Organization Name | INS - IREDELL COUNTY |
| Practice Address |
124 Professional Park Dr Suite B Mooresville NC 28117-5537 |
| Mailing Address |
7650 Se 27th St Suite 200 Mercer Island WA 98040-3060 |
| Practice Telephone | 7046633534 |
| Practice Fax Number | 7046633632 |
| Mailing Telephone | 2062365001 |
| Mailing Fax Number | 2062365002 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2011-12-08 |
| Authorized Official Name | RONALD F SAWYER (CEO) |
| Authorized Official Telephone | 7049472341 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3402656 | 05 |
| Other Name | Type Code |
|---|---|
| INS - Iredell County | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912953456 | Independent Nephrology Services, Inc. | Clinic/Center | 1218 Walter Reed Rd, Fayetteville, NC 28304-4440 | 2006-05-26 |
| 1497700751 | Independent Nephrology Services, Inc. | Clinic/Center | 9920 Kincey Avenue, Suite 140, Huntersville, NC 28078-2400 | 2006-05-24 |
| 1992750475 | Independent Nephrology Services, Inc. | Clinic/Center | 4206 N Roxboro St, Suite 130b, Durham, NC 27704-1826 | 2006-05-23 |
| 1699729756 | Independent Nephrology Services, Inc. | Clinic/Center | 60 Wheaton Ave, Youngsville, NC 27596-8691 | 2006-05-20 |
| 1336193499 | Independent Nephrology Services, Inc. | Clinic/Center | 241 Freedom Way, Jacksonville, NC 28544-1418 | 2006-05-20 |
| 1073567137 | Independent Nephrology Services, Inc. | Clinic/Center | 855 Bethesda Rd, Winston Salem, NC 27103-3026 | 2006-05-20 |
| 1063466126 | Independent Nephrology Services, Inc. | Clinic/Center | 123 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2006-05-20 |
| 1255385316 | Independent Nephrology Services, Inc. | Clinic/Center | 555 Jackson Park Rd, Kannapolis, NC 28083-3657 | 2006-05-20 |
| 1982658043 | Independent Nephrology Services, Inc. | Clinic/Center | 1098 Medical Center Dr, Wilmington, NC 28401-7353 | 2006-05-20 |
| 1922054642 | Independent Nephrology Services, Inc. | Clinic/Center | 50 13th Ave Ne, #2a, Hickory, NC 28601-3748 | 2006-05-25 |
| Street Address |
124 PROFESSIONAL PARK DR SUITE B |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-5537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343337 | Andrew Joseph Braunstein | Psychiatry & Neurology | 124 Professional Park Dr, Suite A, Mooresville, NC 28117-5537 | 2005-08-17 |
| 1962759787 | Piedmont Healthcare, Pa | Durable Medical Equipment & Medical Supplies | 124 Professional Park Dr, Suite A, Mooresville, NC 28117-5609 | 2012-08-10 |
| 1477595700 | Amber Lynn Lankford | Physical Therapist | 124 Professional Park Dr, Ste C, Mooresville, NC 28117 | 2006-06-12 |
| 1346289402 | Ryan Scott Conrad | Specialist | 124 Professional Park Dr, Suite C, Mooresville, NC 28117-5609 | 2006-06-05 |
| 1356399554 | Lake Norman Neurology Pa | Psychiatry & Neurology | 124 Professional Park Dr, Suite A, Mooresville, NC 28117-5537 | 2006-05-04 |
| 1043296130 | Douglas Jeffery | Psychiatry & Neurology | 124 Professional Park Dr, Suite A, Mooresville, NC 28117-5609 | 2005-12-20 |
| 1164414819 | Craig Daniel Dubois | Psychiatry & Neurology | 124 Professional Park Dr, Suite A, Mooresville, NC 28117-5537 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134106198 | Lake Norman Dialysis Center of Wake Forest University | Clinic/Center | 164 Professional Park Dr, Mooresville, NC 28117-5537 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695164 | North Davidson Dialysis Center of Wake Forest University | Clinic/Center | 295 Millers Creek Drive, Winston Salem, NC 27127 | 2020-10-08 |
| 1730793571 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1422 Meadowbrook Rd, Rocky Mount, NC 27801-6700 | 2020-08-31 |
| 1114546298 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 67 Jr Rd Ste 1200, Selma, NC 27576-3458 | 2020-04-09 |
| 1972139640 | Fresenius Medical Care Holly Springs, LLC | Clinic/Center | 5045 Old Raleigh Rd, Cary, NC 27511-6479 | 2020-03-13 |
| 1679106900 | Total Renal Care of North Carolina, LLC | Clinic/Center | 614 S Cannon Blvd, Kannapolis, NC 28083 | 2020-02-14 |
| 1699318162 | Total Renal Care of North Carolina, LLC | Clinic/Center | 246 Olmsted Blvd Ste E, Pinehurst, NC 28374-6005 | 2019-10-28 |
| 1497398416 | Total Renal Care of North Carolina, LLC | Clinic/Center | 2621 Hendersonville Rd, Arden, NC 28704-9226 | 2019-10-22 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1962063156 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 565 Regency Blvd, Winterville, NC 28590-5503 | 2019-06-27 |
| 1295399343 | Total Renal Care of North Carolina, LLC | Clinic/Center | 219 Martin Luther King Jr Dr, Bladenboro, NC 28320 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
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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.