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SELMA NEPHROLOGY ASSOCIATES PA NPI 1316913445


NPI Information

NPI: 1316913445
Provider Name: SELMA NEPHROLOGY ASSOCIATES, PA
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
905 MEDICAL CENTER PKWY
SELMA, AL
ZIP 36701
Phone: (334) 874-6053
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SELMA NEPHROLOGY ASSOCIATES, PA is a nephrology internal medicine in Selma, AL. The provider is 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. SELMA NEPHROLOGY ASSOCIATES, PA NPI is 1316913445. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

905 MEDICAL CENTER PKWY
SELMA, AL
ZIP 36701-746
Phone: (334) 874-6053
Fax: (334) 418-0726

The provider's authorized official is Thomas Kent Taylor .
The authorized official title is President and has the following contact phone number (334) 874-6053.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology9217ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
151517691OTHERALABAMABLUE CROSS PROVIDER #
2051005679OTHERALABAMABLUE CROSS PROVIDER #
3C76968MEDICARE UPINALABAMA
4TA009931425MEDICAIDALABAMA
5SE528700710MEDICAIDALABAMA
6390005938MEDICARE PINALABAMA
7051075573OTHERALABAMABLUE CROSS PROVIDER #
8TA000075573MEDICAIDALABAMA
9=========OTHERALABAMATRICARE/CHAMPUS PROV #
10000075573MEDICARE ID-TYPE UNSPECIFIEDALABAMAPROVIDER #
11000005679MEDICARE ID-TYPE UNSPECIFIEDALABAMAPROVIDER #
12TA000005679MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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