HOPKINSVILLE KIDNEY CARE PLLC (NPI# 1932587300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932587300 |
| Entity Type | Organization |
| Organization Name | HOPKINSVILLE KIDNEY CARE PLLC |
| Practice Address |
215 Burley Ave Suite 2 Hopkinsville KY 42240-8725 |
| Practice Telephone | 2708890282 |
| Practice Fax Number | 6027988267 |
| Mailing Telephone | 2708890282 |
| Mailing Fax Number | 6027988267 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2019-07-25 |
| Authorized Official Name | MICHAEL WALCZYK (OWNER) |
| Authorized Official Telephone | 2708890282 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100455650 | 05 |
| Street Address |
215 BURLEY AVE SUITE 2 |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-8725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265901649 | Leslie Taylor | Nurse Practitioner | 215 Burley Ave, Hopkinsville, KY 42240-8725 | 2018-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| 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 |
|---|---|---|---|---|
| 1053499251 | Nephrology Group of Hopkinsville LLC | Internal Medicine | 210 A Burley Ave, Hopkinsville, KY 42240 | 2006-11-02 |
| 1073989323 | Abhijay Jalota | Internal Medicine | 1724 Kenton St Ste 2f, Hopkinsville, KY 42240-1981 | 2015-08-20 |
| 1225292147 | Nephrology Consultants of Western Kentucky LLC | Internal Medicine | 1717 High St, Suite 2a, Hopkinsville, KY 42240-6300 | 2008-07-10 |
| 1932109964 | Lisa Erelis Radix | Internal Medicine | 1910 S Virginia St, Suite 106, Hopkinsville, KY 42240-3692 | 2005-08-01 |
| 1972503027 | Radha Venkatramanan | Internal Medicine | 1910 S Virginia St, Suite 106, Hopkinsville, KY 42240-3692 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124665807 | Means Adult Primary Care Clinic of Kentucky Pllc | Internal Medicine | 1145 W Lexington Ave Fl 2, Winchester, KY 40391-1290 | 2019-12-02 |
| 1124419668 | Hardin County Primary Care Pllc | Internal Medicine | 912 Woodland Dr, Suite B, Elizabethtown, KY 42701-2795 | 2015-02-05 |
| 1245641307 | Mustafa S Mawih | Internal Medicine | 830 Thomas More Pkwy Ste 200, Edgewood, KY 41017-5103 | 2014-05-12 |
| 1174784466 | Jennifer Hughes Shuemaker | Internal Medicine | 720 2nd Ave Ste 203, Bowling Green, KY 42101-1778 | 2008-06-19 |
| 1518138759 | Muhammad Irfan Atiq | Internal Medicine | 1401 Harrodsburg Rd Ste C335, Lexington, KY 40504-1791 | 2008-03-16 |
| 1881874592 | Eastern Kentucky Kidney Care, Psc | Internal Medicine | 141 Weddington Branch Rd, Pikeville, KY 41501-3204 | 2007-11-09 |
| 1932398120 | Sujata Reddy, Md., Pllc | Internal Medicine | 930 Happy Valley Rd, Glasgow, KY 42141-1332 | 2007-10-24 |
| 1316136567 | Elisha Lancaster | Internal Medicine | 830 Thomas More Parkway, Ste 202, Edgewood, KY 41017 | 2007-10-23 |
| 1881887685 | Hania Kassem | Internal Medicine | 716 W. Broadway, Louisville, KY 40202-2216 | 2007-08-24 |
| 1245443555 | Vibha S Nayak | Internal Medicine | 3813 Zaring Mill Cir, Louisville, KY 40241-3037 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
Please comment or provide details below to improve the information on HOPKINSVILLE KIDNEY CARE PLLC.
| 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.