Eastern Nephrology, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00007283 Issued in AL

Legal business name

EASTERN NEPHROLOGY, PC

Practice address

1524 Huffman Road
Birmingham, AL 35215

Phone

(205) 856-0011

Fax

(205) 856-0726

NPI assigned

Oct 18, 2006

Last updated

May 10, 2012By 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

Ms. Kelly F Amerson

Title

Billing

Phone

(205) 856-0011

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Eastern Nephrology, PC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Tax ID family

Eastern Nephrology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Eastern Nephrology

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1790174027
  NPD tax ID

Locations

Practitioners 3

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.

• Pei Yan Chen, MD

  • Nephrology Physician
  • Birmingham, AL
  • NPI 1952327157
  Medicare reassignment NPD
• Rahim Kassamali, MD

  • Nephrology Physician
  • Gainesville, GA
  • NPI 1932162641

  AL, Internal Medicine

  Medicare reassignment NPD
• Diane R Counce, MD

  • Neurology Physician
  • Birmingham, AL
  • NPI 1417989740
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1093896466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 HUFFMAN ROAD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35215",
            "telephone_number": "205-856-0011",
            "fax_number": "205-856-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 HUFFMAN ROAD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35215",
            "telephone_number": "205-856-0011",
            "fax_number": "205-856-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN NEPHROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "AMERSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "205-856-0011",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00007283",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "0007283",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000011134",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009961755",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Nephrology, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eastern Hospital Medicine PC
• Eastern Hospital Medicine PC
• Eastern Medical Eye Center P C
• Eastern Medical Specialists, P.C.
• Eastern Nephrology
• Eastern Obstetrics and Gynecology, P.C.
• Eastern Pulmonary & Sleep, PC
• Eastern Surgical Associates, P.C.
• Eastern Urology Associates, PA
• Rachel Messer Easters, CRNP

• Internal Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.