SOUTHWEST KIDNEY INSTITUTE SCOTTSDALE LLC (NPI# 1902231012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902231012 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST KIDNEY INSTITUTE SCOTTSDALE LLC |
| Practice Address |
337 E Coronado Rd Suite 201 Phoenix AZ 85004-1580 |
| Mailing Address |
2149 E Warner Rd Ste 102 Tempe AZ 85284-3495 |
| Practice Telephone | 6022528081 |
| Practice Fax Number | 6022521520 |
| Mailing Telephone | 4806106100 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |
| Authorized Official Name | DR. GURDEV SINGH (VP OF FINANCE) |
| Authorized Official Telephone | 4806106100 |
| 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 |
| Street Address |
337 E CORONADO RD SUITE 201 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053305540 | Melissa M Go | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2005-09-09 |
| 1851799142 | Adella Deharo | Nurse Practitioner | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2014-12-18 |
| 1013190792 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 337 E Coronado Rd, Ste 101, Phoenix, AZ 85004-1582 | 2007-12-17 |
| 1295916831 | Anita I Chang | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2007-11-26 |
| 1922290253 | Himabindu Chaparala | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2007-08-10 |
| 1376660357 | Hannah R Sobol | Dietitian, Registered | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1583 | 2007-03-23 |
| 1225129752 | Jennifer L Ireland | Nurse Practitioner | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2006-09-28 |
| 1336155753 | Southwest Kidney Dialysis, LLC | Clinic/Center | 337 E Coronado Rd, Suite 101, Phoenix, AZ 85004-1580 | 2006-07-31 |
| 1508852716 | Amandeep S Khurana | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2005-09-22 |
| 1902892433 | Jeffrey A Laiserin | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2005-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| 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 |
|---|---|---|---|---|
| 1326515677 | Mind Body Kidney | Internal Medicine | 4340 E Indian School Rd Ste 21-408, Phoenix, AZ 85018-5360 | 2018-10-25 |
| 1528427317 | Akdhc, LLC | Internal Medicine | 4901 W Mcdowell Rd, Phoenix, AZ 85035 | 2016-02-22 |
| 1801263033 | Akdhc, LLC | Internal Medicine | 2545 E. Thomas Rd., Suite 110/120, Phoenix, AZ 85016-7941 | 2015-08-24 |
| 1861889859 | Akdhc, LLC | Internal Medicine | 3815 E Bell Rd Ste 3500, Phoenix, AZ 85032-2165 | 2015-04-17 |
| 1730592171 | Joon Soo Kim | Internal Medicine | 9305 W Thomas Rd Ste 570, Phoenix, AZ 85037-3358 | 2014-06-03 |
| 1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
| 1790915684 | Bassam Syed Shakil | Internal Medicine | 5040 N 15th Ave Ste 107, Phoenix, AZ 85015-3329 | 2009-07-25 |
| 1336338789 | Akdhc, LLC | Internal Medicine | 15255 N 40th St Bldg 5, Phoenix, AZ 85032-4624 | 2007-10-22 |
| 1861681298 | Akdhc, LLC | Internal Medicine | 3003 N Central Ave Ste T100, Phoenix, AZ 85012-2929 | 2007-10-22 |
| 1801084835 | Akdhc, LLC | Internal Medicine | 7725 N 43rd Ave Ste 411, Phoenix, AZ 85051-5771 | 2007-10-03 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on SOUTHWEST KIDNEY INSTITUTE SCOTTSDALE 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.