Nephrology and Hypertension Consultants SC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036051280 Issued in IL

Legal business name

NEPHROLOGY AND HYPERTENSION CONSULTANTS SC

Practice address

1480 Renaissance Dr
Suite 211
Park Ridge, IL 60068-1332

Phone

(813) 890-8004

Fax

(813) 290-9691

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Kenneth Miller, MD

Title

Physician/Owner

Phone

(813) 890-8004

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1124287180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 RENAISSANCE DR",
            "address_2": "SUITE 211",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681332",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 RENAISSANCE DR",
            "address_2": "SUITE 211",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681332",
            "telephone_number": "813-890-8004",
            "fax_number": "813-290-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY AND HYPERTENSION CONSULTANTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "813-890-8004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036051280",
            "primary": true
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "IL",
            "license": "036051280",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051280",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Nelson, MD
• Jesse Tyler Nelson, MD
• Laura Catherine Nelson, PT
• Shannon Christine Nelson, LSW
• Tara Nelson
• Karyn Roggatz Ness, M.S., M.A.
• Nesset Pavilion Pharmacy
• Stephen Mark Neuberger, MD
• Alyssa Neuman, OTR/L
• Caitlyn Theresa Neville

• Nephrology Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.