GOVANI KIDNEY CARE LLC (NPI# 1578057865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578057865 |
| Entity Type | Organization |
| Organization Name | GOVANI KIDNEY CARE LLC |
| Practice Address |
15644 Madison Ave Ste 211 Lakewood OH 44107-5622 |
| Practice Telephone | 7342235593 |
| Practice Fax Number | 2165215351 |
| Mailing Telephone | 7342235593 |
| Mailing Fax Number | 2165215351 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | DR. MAULIK GOVANI (PHYSICIAN (SOLO MEMBER)) |
| Authorized Official Telephone | 7342235593 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35.134182 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
15644 MADISON AVE STE 211 |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-5622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| 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 |
|---|---|---|---|---|
| 1417562943 | Western Nephrology & Metabolic Bone Disease, P.C. | Internal Medicine | 11700 W 2nd Pl Ste 345, Lakewood, CO 80228-1710 | 2020-09-11 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1174663819 | Paul Dennis Miller | Internal Medicine | 6655 W Jewell Ave. Ste 2, Lakewood, CO 80232-7108 | 2007-02-08 |
| 1285694836 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 1627 Cole Blvd Bldg 18, Lakewood, CO 80401-3315 | 2006-03-27 |
| 1487040655 | Catholic Health Initiatives Colorado | Internal Medicine | 3190 S Wadsworth Blvd, Suite 250, Lakewood, CO 80227-4899 | 2015-04-14 |
| 1710326558 | Michael Alan Fischman | Internal Medicine | 3300 E South St Ste 308, Lakewood, CA 90805-4598 | 2013-06-14 |
| 1891039871 | Bikram Singh Sekhon | Internal Medicine | 3300 E South St Ste 308, Lakewood, CA 90805-4598 | 2012-11-15 |
| 1831266477 | Davita Nephrology Medical Associates of Pennsylvania, PC | Internal Medicine | 1627 Cole Blvd Bldg 18, Lakewood, CO 80401-3315 | 2006-11-29 |
| 1598861882 | Adarsh Daswani | Internal Medicine | 3300 E South St, Suite 110, Lakewood, CA 90805-4549 | 2006-09-15 |
| 1831120591 | Avedik Semerjian | Internal Medicine | 3300 E South St, 308, Lakewood, CA 90805-4549 | 2006-07-05 |
| Find all providers in LAKEWOOD | ||||
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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.