Organization Active NPI

Midwest Nephrology Associates PC

  • Nephrology Physician
  • Midwest City, OK
National Provider Identifier
1013040898
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
24328 Issued in OK
Legal business name
MIDWEST NEPHROLOGY ASSOCIATES PC
Practice address
1201 S Douglas Blvd Ste K
Midwest City, OK 73130-5263
Phone
(405) 737-4900
Fax
(405) 737-3606
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wudeneh Zewdie, M.D.
Title
President
Phone
(405) 737-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 24328 OK Primary

Addresses

Primary practice location

1201 S Douglas Blvd Ste K
Midwest City, OK 73130-5263

Mailing address

1201 S Douglas Blvd Ste K
Midwest City, OK 73130-5263
Phone (405) 737-4900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013040898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S DOUGLAS BLVD STE K",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305263",
            "telephone_number": "405-737-4900",
            "fax_number": "405-737-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S DOUGLAS BLVD STE K",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305263",
            "telephone_number": "405-737-4900",
            "fax_number": "405-737-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST NEPHROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZEWDIE",
        "authorized_official_first_name": "WUDENEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-737-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "24328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.