CLINICAL NEPHROLOGY ASSOCIATES, PA (NPI# 1598003220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598003220 |
| Entity Type | Organization |
| Organization Name | CLINICAL NEPHROLOGY ASSOCIATES, PA |
| Practice Address |
11797 South Fwy Suite 226 Burleson TX 76028-7026 |
| Mailing Address |
Po Box 470787 Fort Worth TX 76147-0787 |
| Practice Telephone | 8179238050 |
| Practice Fax Number | 8179238832 |
| Mailing Telephone | 8179238050 |
| Mailing Fax Number | 8179238832 |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |
| Authorized Official Name | DR. JACK GRATCH (OWNER/CEO) |
| Authorized Official Telephone | 8179238050 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
F8496 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 085155204 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184669673 | Clinical Nephrology Associates, Pa | Internal Medicine | 1700 Mistletoe Blvd, Fort Worth, TX 76104-4042 | 2006-06-18 |
| 1609149517 | Clinical Nephrology Associates, Pa | Internal Medicine | 2800 E Highway 114, Trophy Club, TX 76262-5304 | 2012-02-23 |
| 1811025117 | Clinical Nephrology Associates, Pa | Internal Medicine | 920 Santa Fe Dr, Suite 103, Weatherford, TX 76086-5864 | 2007-03-01 |
| Street Address |
11797 SOUTH FWY SUITE 226 |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-7026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445066 | Darrell Lynn Bowyer | Specialist | 11797 South Fwy, Ste 250, Burleson, TX 76028-7035 | 2005-05-27 |
| 1275960890 | Zandra Alice Underwood | Nurse Practitioner | 11797 South Fwy, Burleson, TX 76028-7026 | 2013-09-27 |
| 1366786618 | Rose N Maina | Nurse Practitioner | 11797 South Fwy, Ste 330, Burleson, TX 76028-7026 | 2012-11-26 |
| 1124330998 | Megan Eubank | Audiologist | 11797 South Fwy, Ste 132, Burleson, TX 76028-7026 | 2010-07-09 |
| 1457686768 | Richard R Ondrizek Md Pa | Obstetrics & Gynecology | 11797 South Fwy, Suite 242, Burleson, TX 76028-7026 | 2009-10-05 |
| 1588818413 | Von L. Evans Jr., M.d., P.a. | Specialist | 11797 South Fwy, Ste. 346, Burleson, TX 76028-7026 | 2008-11-05 |
| 1033361068 | John A. Malonis, M.d., P.a. | Specialist | 11797 South Fwy, Ste. 342, Burleson, TX 76028-7026 | 2008-10-22 |
| 1841446481 | Jeff R Sherman | Counselor | 11797 South Fwy, Suite 226, Burleson, TX 76028-7026 | 2008-08-14 |
| 1972687093 | Stelian Paul Bodea-barothi | Psychiatry & Neurology | 11797 South Fwy, Suite 338, Burleson, TX 76028-7026 | 2006-10-25 |
| 1578594982 | Gary D Gottfried Md Pa | Physical Medicine & Rehabilitation | 11797 South Fwy, Suite 350, Burleson, TX 76028-7035 | 2006-07-05 |
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|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
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| 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. |
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| 1578106894 | Cardiorenal Therapeutics of North Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 365, Sherman, TX 75092-7393 | 2019-10-18 |
| 1639711534 | Immaculate Vascular Access Center Pllc | Internal Medicine | 349 S Helen Moore Rd Apt 6205, San Benito, TX 78586-9091 | 2019-10-11 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1841849098 | Austin Kidney Care LLC | Internal Medicine | 2005 Palo Duro Rd, Austin, TX 78757-3242 | 2019-09-10 |
| 1467000828 | Ntkc-dfw, Pllc | Internal Medicine | 2220 Bryan Pl Ste 104, Midlothian, TX 76065-7127 | 2019-08-29 |
| 1306407697 | H&n Medical Investment, LLC | Internal Medicine | 4201 Medical Center Dr. Ste 240, Mckinney, TX 75069-1774 | 2019-06-26 |
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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.