Organization Active NPI

Afton Nephrology Associates, P.C.

  • Nephrology Physician
  • Detroit, MI
National Provider Identifier
1093083446
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301406139 Issued in MI
Legal business name
AFTON NEPHROLOGY ASSOCIATES, P.C.
Practice address
19445 Afton Rd
Detroit, MI 48203-1437
Phone
(313) 574-5430
Fax
(734) 353-4108
NPI assigned
Dec 13, 2011
Organization subpart
Yes
Parent organization
AFTON NEPHROLOGY ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Rachel Donaldson Kimpson, M.D.
Title
President
Phone
(313) 574-5430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X 4301406139 MI Primary

Addresses

Primary practice location

19445 Afton Rd
Detroit, MI 48203-1437

Mailing address

19445 Afton Rd
Detroit, MI 48203-1437
Phone (313) 574-5430

Other names 1

  • State Fair Dialysis Doing business as

National Provider Directory

National Provider Directory
Part of
Afton Nephrology Assoc PC

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1093083446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19445 AFTON RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031437",
            "telephone_number": "313-574-5430",
            "fax_number": "734-353-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19445 AFTON RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031437",
            "telephone_number": "313-574-5430",
            "fax_number": "734-353-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFTON NEPHROLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFTON NEPHROLOGY ASSOCIATES, P.C.",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "KIMPSON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "DONALDSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-574-5430",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301406139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State Fair Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.