NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC (NPI# 1689827370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689827370 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC |
| Other Organization Name | NEBRASKA KIDNEY CARE |
| Practice Address |
638 N Webb Rd Suite B Grand Island NE 68803-4057 |
| Mailing Address |
2000 16th St Denver CO 80202 |
| Practice Telephone | 3083820121 |
| Practice Fax Number | 3083820572 |
| Mailing Telephone | 3038767243 |
| Mailing Fax Number | 8669175396 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2013-01-07 |
| Authorized Official Name | DERON FRANK (SENIOR VP) |
| Authorized Official Telephone | 3105362402 |
| 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 |
|---|---|---|---|
| NE | 10025674900 | 05 |
| Other Name | Type Code |
|---|---|
| Nebraska Kidney Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679533012 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 880 E 3900 S, Ste B, Salt Lake City, UT 84107-2151 | 2006-03-27 |
| 1093775645 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 1050 W Elm St, Ste 160, Hermiston, OR 97838 | 2006-03-27 |
| 1285694836 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 1627 Cole Blvd Bldg 18, Lakewood, CO 80401-3315 | 2006-03-27 |
| 1740706951 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 334 Smith Ave, Thomasville, GA 31792-5533 | 2017-08-18 |
| 1790125078 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 2216 Nw 40th Ter, Gainesville, FL 32605-3573 | 2013-07-01 |
| 1285674515 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 307 N 46th St, Lincoln, NE 68503-3714 | 2006-06-07 |
| 1841230174 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30045-7418 | 2006-06-07 |
| 1760442107 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 6 Jungermann Circle, Ste 215, Saint Peters, MO 63376-1626 | 2006-03-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Nephrology Medical Associates of Georgia LLC | 2000 16th St, Denver, Colorado 80202 |
| Street Address |
638 N WEBB RD SUITE B |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803-4057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760468748 | Richard Kearns | Dentist | 638 N Webb Rd, Suite 1, Grand Island, NE 68803-4049 | 2005-12-21 |
| 1194703587 | William Ruben | Dentist | 638 N Webb Rd, Suite 1, Grand Island, NE 68803-4049 | 2006-01-05 |
| 1750367728 | David Lofgreen | Dentist | 638 N Webb Rd, Suite 1, Grand Island, NE 68803-4049 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| Find all providers in zip 68803 | ||||
| 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 |
|---|---|---|---|---|
| 1013964162 | Wagoner Medical Group PC | Internal Medicine | 800 N Alpha St, Grand Island, NE 68803-4320 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053530519 | Nephrology Care LLC | Internal Medicine | 2560 N Healthy Way, Fremont, NE 68025-2315 | 2007-04-24 |
| 1992924443 | Bryce H Lund | Internal Medicine | 310 E Military Ave, Fremont, NE 68025-5070 | 2007-04-24 |
| 1376654780 | Jerry L Fischer | Internal Medicine | 2665 Douglas St, Omaha, NE 68131-2626 | 2006-08-31 |
| 1831126259 | Sonali S Deshmukh | Internal Medicine | 1111 N 102nd Ct Ste 200, Omaha, NE 68114-2194 | 2006-06-28 |
| 1326014028 | Michael L Aaronson | Internal Medicine | 7401 O St, Lincoln, NE 68510-2444 | 2006-02-23 |
| 1437122322 | Ronald Lynn Asher | Internal Medicine | 611 W Francis St Ste 270, North Platte, NE 69101-0614 | 2006-02-10 |
| 1184272577 | Nebraska Kidney Health PC | Internal Medicine | 1900 N Saint Joseph Ave, Hastings, NE 68901-2652 | 2019-08-28 |
| 1386187375 | North Platte Nebraska Physician Group LLC | Internal Medicine | 611 W Francis St, Ste 270, North Platte, NE 69101-0614 | 2016-11-23 |
| 1578943593 | Felipe Sebastian Naranjo | Internal Medicine | Emile @ 42nd St, Omaha, NE 68198-0001 | 2015-06-04 |
| 1962838193 | Platte River Nephrology LLC | Internal Medicine | 611 W Francis St Ste 270, North Platte, NE 69101-0614 | 2013-09-19 |
| Find all providers with the same taxonomy | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
Please comment or provide details below to improve the information on NEPHROLOGY MEDICAL ASSOCIATES OF GEORGIA LLC.
| 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.