SOUTHWEST KIDNEY CARE, LLC (NPI# 1730795501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730795501 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST KIDNEY CARE, LLC |
| Practice Address |
5981 Jefferson St Ne Ste A Albuquerque NM 87109-3457 |
| Mailing Address |
Po Box 22566 Santa Fe NM 87502-2566 |
| Practice Telephone | 5053709600 |
| Practice Fax Number | 5053550566 |
| Mailing Telephone | 5053709600 |
| Mailing Fax Number | 5053550566 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | DR. BIJU CHERIAN (TREASURER/OWNER) |
| Authorized Official Telephone | 5053709600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
5981 JEFFERSON ST NE STE A |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-3457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437195369 | Biju Cherian | Internal Medicine | 5981 Jefferson St Ne Ste A, Albuquerque, NM 87109-3457 | 2006-06-21 |
| 1134141260 | Kirby D Gabrys | Internal Medicine | 5981 Jefferson St Ne Ste A, Albuquerque, NM 87109-3457 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| 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 |
|---|---|---|---|---|
| 1962972943 | Albuquerque Nephrology Associates | Internal Medicine | 4333 Pan American Freeway Ne Suite C, Albuquerque, NM 87107-6833 | 2018-12-03 |
| 1487945507 | Shan Shan Chen | Internal Medicine | Msc 04-2785, 1 University of New Mexico, Albuquerque, NM 87131 | 2011-04-23 |
| 1689889123 | Steven Paul Kanig | Internal Medicine | 3325 Calle De Daniel Nw, Albuquerque, NM 87104-3023 | 2007-05-10 |
| 1932200904 | Eduardo A. Alas | Internal Medicine | 717 Encino Place N.e., Suite 26, Albuquerque, NM 87102 | 2006-09-25 |
| 1518985191 | Gustavo Abel Espino | Internal Medicine | 4333 Pan American Fwy Ne Ste C, Albuquerque, NM 87107-6833 | 2006-07-18 |
| 1619902699 | Charles T Spalding | Internal Medicine | 657 Roadrunner Ln Ne, Albuquerque, NM 87122-1811 | 2006-07-11 |
| 1134159692 | Darren W Schmidt | Internal Medicine | University of New Mexico- Hsc Division of Nephrology, Albuquerque, NM 87131-8296 | 2006-07-03 |
| 1437195369 | Biju Cherian | Internal Medicine | 5981 Jefferson St Ne Ste A, Albuquerque, NM 87109-3457 | 2006-06-21 |
| 1649278672 | David Buchwald | Internal Medicine | 5852 Mesa Vista Trl Nw, Albuquerque, NM 87120-3297 | 2005-07-13 |
| 1477173219 | University of New Mexico Hospitals | Internal Medicine | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-04-22 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on SOUTHWEST KIDNEY CARE, 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.