PROVIDENCE KIDNEY & HYPERTENSION SPECIALISTS LLC (NPI# 1821695826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821695826 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE KIDNEY & HYPERTENSION SPECIALISTS LLC |
| Practice Address |
1406 Dickerson St Newark OH 43055-1844 |
| Practice Telephone | 9179262914 |
| Enumeration Date | 2020-10-03 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | FRANK BOATENG (MD) |
| Authorized Official Telephone | 9178262914 |
| 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 |
1406 DICKERSON ST |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952606451 | Hamilton Chiropractic Center, LLC | Chiropractor | 1406 Dickerson St, Newark, OH 43055-1844 | 2011-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| 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 |
|---|---|---|---|---|
| 1770619348 | Mid Ohio Nephrology and Hypertension LLC | Internal Medicine | 1910 Tamarack Rd, Newark, OH 43055-2303 | 2007-02-26 |
| 1184717399 | Rubeen K Israni | Internal Medicine | 12 Celestial Way, Newark, DE 19711 | 2006-10-02 |
| 1679584841 | Virginia Upchurch Collier | Internal Medicine | Christiana Hospital, 4755 Ogletown Stanton Road, Newark, DE 19718-0002 | 2006-08-11 |
| 1689612335 | Inderpal S. Chadha | Internal Medicine | 539 Bloomfield Ave, Newark, NJ 07107-1385 | 2006-06-03 |
| 1033168554 | Hintsa Tewoldemedin | Internal Medicine | 42 Messimer Dr, Newark, OH 43055-1842 | 2006-05-10 |
| 1891780409 | Robert Dressler | Internal Medicine | 4755 Ogletown-stanton Road, Newark, DE 19718 | 2005-09-20 |
| 1699773663 | Jeffrey S Cicone | Internal Medicine | 1092 Old Churchmans Rd, Newark, DE 19713-2102 | 2005-07-13 |
| 1700889250 | Daniel Halevy | Internal Medicine | 3 Penn Plz E # Pp-12s, Newark, NJ 07105-2258 | 2005-05-27 |
| 1255889572 | Somatus Nephrology of Delaware, LLC | Internal Medicine | 620 Stanton Christiana Rd, Suite 101, Newark, DE 19713-2133 | 2016-09-15 |
| 1568793503 | University Renal and Hypertension Consultants, LLC | Internal Medicine | 390 New York Ave, Newark, NJ 07105-3125 | 2010-01-14 |
| Find all providers in NEWARK | ||||
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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.