AXIS NEPHROLOGY PLLC NPI 1104868462

NPI Information

NPI: 1104868462
Provider Name: AXIS NEPHROLOGY PLLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1708 S YAKIMA AVE
SUITE 107
TACOMA, WA
ZIP 98405
Phone: (253) 272-5881
Get Directions

AXIS NEPHROLOGY PLLC is a nephrology internal medicine in Tacoma, WA. 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. AXIS NEPHROLOGY PLLC NPI is 1104868462. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1708 S YAKIMA AVE
SUITE 107
TACOMA, WA
ZIP 98405
Phone: (253) 272-5881
Fax: (253) 383-0161

The provider's authorized official is David W Dempster .
The authorized official title is Credentialing- Billing Specialist and has the following contact phone number (253) 272-5881.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 6/16/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	MD00040610	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7128556	MEDICAID	WASHINGTON
2	8854937	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON

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

NPI Synchronization or Removal

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