Southeast Renal Associates PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTHEAST RENAL ASSOCIATES PA

Practice address

2301 W Morehead St
Charlotte, NC 28208-5178

Phone

(704) 333-4217

Fax

(704) 927-1767

NPI assigned

Oct 24, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Huneycutt

Title

Practice Administrator

Phone

(704) 927-1755

Specialties & licenses 1

Addresses

Locations

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel E Bruce, M.D.

  • Nephrology Physician
  • Charlotte, NC
  • NPI 1154387199
  NPD
• Verachai Lohavichan, M.D.

  • Nephrology Physician
  • Charlotte, NC
  • NPI 1568428159
  NPD
• Donald P. Berling, MD

  • Nephrology Physician
  • Charlotte, NC
  • NPI 1710927421
  NPD (past)
• Christopher Kevin Buehrig, MD

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1346206927
  NPD (past)
• Jane Bycroft, FNP

  • Adult Health Nurse Practitioner
  • Monroe, NC
  • NPI 1568546059
  NPD (past)
• Henry D Cremisi, M.D.

  • Internal Medicine Physician
  • Matthews, NC
  • NPI 1053377630
  NPD (past)
• Amy Beth Edinger, NP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1447439336
  NPD (past)
• Stuart Steven Haigler, MD

  • Internal Medicine Physician
  • Monroe, NC
  • NPI 1205892882
  NPD (past)
• Andrew S O'Connor, DO

  • Nephrology Physician
  • Monroe, NC
  • NPI 1679581326
  NPD (past)
• James Edward Wood III, M.D.

  • Nephrology Physician
  • Charlotte, NC
  • NPI 1770549735
  NPD (past)
• Joseph Francis Minore Sr., MD

  • Internal Medicine Physician
  • Silverdale, WA
  • NPI 1558396564
  NPD (past)
• Ronald Francis Pendleton, DO

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1689680597
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1073697553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W MOREHEAD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085178",
            "telephone_number": "704-333-4217",
            "fax_number": "704-927-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W MOREHEAD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085178",
            "telephone_number": "704-333-4217",
            "fax_number": "704-927-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST RENAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HUNEYCUTT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "704-927-1755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Pathology Consultants, Inc.
• Southeast Psychological Services PLLC
• Southeast Psychological Services, PLLC
• Southeast Radiation Oncology Group, P.a.
• Southeast Radiology Associates PLLC
• Southeast Surgical Specialists, PLLC
• Southeast Vulvar Clinic, PLLC
• Southeastern Hearing Centers Inc (Beltone Hearing Center)
• Southeastern Ocularists, Inc.
• Southeastpsych Ballantyne, PLLC

• Specialist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.