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CAPE GIRARDEAU NEPHROLOGY ASSOCIATES PC NPI 1639129224


NPI Information

NPI: 1639129224
Provider Name: CAPE GIRARDEAU NEPHROLOGY ASSOCIATES, PC

Former Legal Business Name: NEPHROLOGY ASSOCIATES, PC

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1349 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 334-9564
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CAPE GIRARDEAU NEPHROLOGY ASSOCIATES, PC is a nephrology internal medicine in Cape Girardeau, MO. 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. CAPE GIRARDEAU NEPHROLOGY ASSOCIATES, PC NPI is 1639129224. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Nephrology Associates, Pc.

The provider's business location address is:

1349 N MOUNT AUBURN RD
CAPE GIRARDEAU, MO
ZIP 63701-727
Phone: (573) 334-9564
Fax: (573) 334-1879

The provider's authorized official is Frank W Braxton .
The authorized official title is President/physician and has the following contact phone number (573) 334-9564.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 3/27/2015.


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
1500908306MEDICAIDMISSOURI
25C446OTHERARKANSASBLUE CROSS BLUE SHIELD
3H8238OTHERMISSOURIHEALTHLINK
4500867403MEDICAIDMISSOURI
55C446MEDICARE PINARKANSAS
6990001443MEDICARE PINMISSOURI
7117672OTHERMISSOURIBLUE CROSS BLUE SHIELD
8145675002MEDICAIDARKANSAS
9=========OTHERCHAMPUS
10CI5170OTHERRAIL ROAD MEDICARE

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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