Upper Valley Kidney Clinic

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

30080974 Issued in OH

Legal business name

UPPER VALLEY KIDNEY CLINIC

Practice address

1015 Fair Rd
Sidney, OH 45365-8947

Phone

(937) 498-0040

Fax

(937) 498-0067

NPI assigned

Jun 25, 2009

Organization subpart

No

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

Authorized official

Name

Naveed Ul Haq, M.D.

Title

Sole Proprieter

Phone

(937) 335-9633

Specialties & licenses 1

Addresses

Tax ID family

Upper Valley Kidney Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Upper Valley Kidney Clinic

  • Nephrology Physician
  • Sidney, OH
  • NPI 1225266505
  NPD tax ID
• Upper Valley Kidney Clinic

  • Nephrology Physician
  • Fairborn, OH
  • NPI 1710115548
  NPD tax ID

Practitioners 1

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

• Sayed Asad Ali, M.D.

  • Nephrology Physician
  • Troy, OH
  • NPI 1982709903
  NPD (past)

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1053549261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N DIXIE HWY",
            "address_2": "STE. 101",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-335-9633",
            "fax_number": "937-335-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 FAIR RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453658947",
            "telephone_number": "937-498-0040",
            "fax_number": "937-498-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY KIDNEY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_middle_name": "UL",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "937-335-9633",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "30080974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela A Trent, SWA
• Jarrod Tucker
• Jessica Lynne Turnwald, OTR/L
• Brandon Unger
• Gabrielle Unverferth
• Upper Valley Kidney Clinic
• Alyssa Ann Vactor, APRN-CNP
• Philip W Valentine, OD
• Valley Eye Institute
• Valley Eye Institute ASC LLC

• Nephrology Physician in Sidney, OH
• Providers in Sidney, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.