Provider Type Icon

OHIO VALLEY NEPHROLOGY ASSOCIATES PSC NPI 1952498347


NPI Information

NPI: 1952498347
Provider Name: OHIO VALLEY NEPHROLOGY ASSOCIATES PSC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 18D2265236

Address:
1930 E PARRISH AVE
OWENSBORO, KY
ZIP 42303
Phone: (270) 689-1919
Get Directions

OHIO VALLEY NEPHROLOGY ASSOCIATES PSC is a specialist in Owensboro, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OHIO VALLEY NEPHROLOGY ASSOCIATES PSC NPI is 1952498347. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1930 E PARRISH AVE
OWENSBORO, KY
ZIP 42303-443
Phone: (270) 689-1919
Fax: (270) 689-1990

The provider's authorized official is Mahendra C Maru .
The authorized official title is President and has the following contact phone number (270) 689-1919.

The CLIA number assigned to this NPI record is 18D2265236 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 7/12/2017.


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
1363LF0000XNurse PractitionerFamilyNo
2174400000XSpecialistYes

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
165941023MEDICAIDKENTUCKY
2189210MEDICARE PININDIANA
3CJ7612OTHERKENTUCKYMEDICARE RAILROAD
4249200MEDICARE PININDIANA
5204443900OTHERKENTUCKYFEDERAL BLACK LUNG
66350MEDICARE PINKENTUCKY
7189220MEDICARE PININDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.