CAPE GIRARDEAU NEPHROLOGY ASSOCIATES, PC (NPI# 1639129224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639129224 |
| Entity Type | Organization |
| Organization Name | CAPE GIRARDEAU NEPHROLOGY ASSOCIATES, PC |
| Other Organization Name | NEPHROLOGY ASSOCIATES, PC |
| Practice Address |
1349 N Mount Auburn Rd Cape Girardeau MO 63701-1727 |
| Practice Telephone | 5733349564 |
| Practice Fax Number | 5733341879 |
| Mailing Telephone | 5733349564 |
| Mailing Fax Number | 5733341879 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | DR. FRANK W BRAXTON (PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 5733349564 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 117672 | 01 |
| AR | 145675002 | 05 | |
| MO | 500908306 | 05 | |
| MO | HEALTHLINK | H8238 | 01 |
| RAIL ROAD MEDICARE | CI5170 | 01 | |
| AR | BLUE CROSS BLUE SHIELD | 5C446 | 01 |
| MO | 500867403 | 05 |
| Other Name | Type Code |
|---|---|
| Nephrology Associates, PC | Former Legal Business Name - Organization |
| Street Address |
1349 N MOUNT AUBURN RD |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740231000 | Debra Burton | Nurse Practitioner | 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | 2006-05-12 |
| 1558916023 | Sarah J Michael | Nurse Practitioner | 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | 2019-08-01 |
| 1669832556 | Kimberly Hagedorn | Nurse Practitioner | 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | 2016-03-04 |
| 1760730139 | Dana Marie Moore | Nurse Practitioner | 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | 2012-08-16 |
| 1164736930 | Shuang Ying Bao | Internal Medicine | 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | 2010-08-03 |
| 1639120389 | Frank W Braxton | Internal Medicine | 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | 2006-05-15 |
| 1841240421 | Nuhad A Kulaylat | Internal Medicine | 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| 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 |
|---|---|---|---|---|
| 1164736930 | Shuang Ying Bao | Internal Medicine | 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | 2010-08-03 |
| 1639120389 | Frank W Braxton | Internal Medicine | 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | 2006-05-15 |
| 1841240421 | Nuhad A Kulaylat | Internal Medicine | 1349 N Mount Auburn Rd, Cape Girardeau, MO 63701-1727 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811549389 | Sana Hasan | Internal Medicine | Ce 422, One Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2019-07-15 |
| 1295291409 | Zeeshan Azeem | Internal Medicine | 1 Hospital Drive University Hospital, Columbia, MO 65212-0001 | 2019-02-12 |
| 1932614153 | Mohammad Walid Abuzeineh | Internal Medicine | 1 Hospital Drive Department of Nephrology, Columbia, MO 65211-0001 | 2017-12-11 |
| 1548788896 | Nephrology Care of St Louis | Internal Medicine | 224 S Woods Mill Rd Ste 460, Chesterfield, MO 63017-3513 | 2017-09-07 |
| 1033649819 | Taewoo Lee | Internal Medicine | 3635 Vista Ave Saint Louis University Medical Center, Division of Nephrology, Saint Louis, MO 63110 | 2017-06-14 |
| 1528502978 | Bill Lauderdale | Internal Medicine | 288 State Hwy Y, Forsyth, MO 65653-0010 | 2016-12-05 |
| 1780058727 | St Louis Kidney Care LLC | Internal Medicine | 11155 Dunn Rd Ste 211n, Saint Louis, MO 63136-6166 | 2015-11-13 |
| 1104239888 | Sadaf Sheikh | Internal Medicine | 222 S Woods Mill Rd Ste 750n, Chesterfield, MO 63017-3653 | 2014-06-10 |
| 1225441538 | Tomonori Alan Oyadomari | Internal Medicine | 1009 W Saint Maartens Dr Ste F, Saint Joseph, MO 64506-2990 | 2014-06-04 |
| 1184056830 | Ralph Robert Hatlelid | Internal Medicine | 318 E Swon Ave, Saint Louis, MO 63119-3112 | 2013-08-05 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
Please comment or provide details below to improve the information on CAPE GIRARDEAU NEPHROLOGY ASSOCIATES, PC.
| 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.