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NEPHROLOGY ASSOCIATES INC NPI 1457430134


NPI Information

NPI: 1457430134
Provider Name: NEPHROLOGY ASSOCIATES, INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 51D0669579

Address:
58 16TH ST
SUITE 500
WHEELING, WV
ZIP 26003
Phone: (304) 242-7751
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NEPHROLOGY ASSOCIATES, INC is a nephrology internal medicine in Wheeling, WV. 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. NEPHROLOGY ASSOCIATES, INC NPI is 1457430134. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

58 16TH ST
SUITE 500
WHEELING, WV
ZIP 26003-660
Phone: (304) 242-7751
Fax: (304) 242-7254

The provider's authorized official is Derrick Louis Latos .
The authorized official title is President and has the following contact phone number (304) 242-7751.

The CLIA number assigned to this NPI record is 51D0669579 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/3/2006 and was last updated on 3/6/2008.


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 MedicineNephrologyYes

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
19922942MEDICARE ID-TYPE UNSPECIFIEDOHIOPRACTICE PROVIDER NUMBER
20006175000MEDICAIDWEST VIRGINIA
30646519MEDICAIDOHIO
49922941MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIAPRACTIVE MC PROVIDER NUMB

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: 4/28/2024

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