CLINICAL NEPHROLOGY ASSOCIATES, PA (NPI# 1609149517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609149517 |
| Entity Type | Organization |
| Organization Name | CLINICAL NEPHROLOGY ASSOCIATES, PA |
| Practice Address |
2800 E Highway 114 Trophy Club TX 76262-5304 |
| 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 | 2012-02-23 |
| Last Update Date | 2012-02-23 |
| Authorized Official Name | DR. JACK O. GRATCH (CEO/OWNER) |
| Authorized Official Telephone | 8179238050 |
| Authorized Official Credential | D,O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184669673 | Clinical Nephrology Associates, Pa | Internal Medicine | 1700 Mistletoe Blvd, Fort Worth, TX 76104-4042 | 2006-06-18 |
| 1598003220 | Clinical Nephrology Associates, Pa | Internal Medicine | 11797 South Fwy, Suite 226, Burleson, TX 76028-7026 | 2013-01-31 |
| 1811025117 | Clinical Nephrology Associates, Pa | Internal Medicine | 920 Santa Fe Dr, Suite 103, Weatherford, TX 76086-5864 | 2007-03-01 |
| Street Address |
2800 E HIGHWAY 114 |
| City | TROPHY CLUB |
| State | TX |
| Zip Code | 76262-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629012273 | Sharon Jill Gibbs | Physical Medicine & Rehabilitation | 2800 E Highway 114, Suite 220, Trophy Club, TX 76262-5304 | 2006-06-15 |
| 1194264804 | Matthew Boyd | Physical Therapist | 2800 E Highway 114, 120, Trophy Club, TX 76262-5304 | 2017-02-14 |
| 1689052433 | Braeden Moses | Physical Therapist | 2800 E Highway 114, 120, Trophy Club, TX 76262-5304 | 2015-05-13 |
| 1366681702 | Pro Physicians Clinic Pa | Radiology | 2800 E Highway 114, Suite 100, Trophy Club, TX 76262-5304 | 2009-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025611 | Freeform Chiropractic Trophy Club LLC | Chiropractor | 2240 Sh 114, Suite 650, Trophy Club, TX 76262 | 2020-02-20 |
| 1932748498 | Legacy Physical Therapy and Wellness | Physical Therapist | 351 N Byron Nelson Blvd, Suite 110, Roanoke, TX 76262 | 2020-01-02 |
| 1497399687 | Roanoke Foot & Ankle Institute, Pllc | Podiatrist | 351 W Byron Nelson Blvd, Suite 100, Roanoke, TX 76262 | 2019-10-31 |
| 1710470810 | Maria Guadalupe Madera | Dentist | 5000 Highway 114, Unit 130, Northlake, TX 76262 | 2018-06-13 |
| 1912414251 | 6 Day Dental Group - Roanoke, Pllc | Clinic/Center | 200 Tx-114, Roanoke, TX 76262 | 2018-01-09 |
| 1144746561 | Lone Star Neurosurgical Assistants | Physician Assistant | 1270 Casa Bella Ct, Westlake, TX 76262 | 2017-08-17 |
| 1710347562 | Randolph R West Dds Pllc | Dentist | 295 W. Byron Nelson Blvd, Ste 304, Roanoke, TX 76262 | 2016-03-07 |
| 1912367228 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 35 Arta Dr, Westlake, TX 76262 | 2016-02-29 |
| 1952760050 | Roanoke Dental Group,pc | Dentist | 1320 N Hwy 377 Suite 100, Roanoke, TX 76262 | 2016-02-17 |
| 1942683115 | Fatima Naurose Siraj | Dentist | 860 East Highway 114 Ideal Dental, Suite 200, Roanoke, TX 76262 | 2015-07-07 |
| Find all providers in zip 76262 | ||||
| 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 |
|---|---|---|---|---|
| 1982203659 | Nephrology and Hypertension Specialists Pa | Internal Medicine | 4102 Woodlawn Ave Ste 220, Pasadena, TX 77504-1949 | 2020-10-22 |
| 1437781960 | Haus Medical Group Pllc | Internal Medicine | 1315 St Joseph Pkwy Ste 1704, Houston, TX 77002-8238 | 2020-02-12 |
| 1962040949 | Ngoc-han Thi Tran | Internal Medicine | 3295 S Cooper St Ste 119, Arlington, TX 76015-2359 | 2019-12-20 |
| 1659916617 | Heartland Physicians Associates Nephrology Pllc | Internal Medicine | 150 Pine Forest Dr Ste 501, Shenandoah, TX 77384-5304 | 2019-11-14 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | TROPHY CLUB |
| Zip Code | 76262 |
Please comment or provide details below to improve the information on CLINICAL NEPHROLOGY ASSOCIATES, PA.
| 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.