Organization Active NPI

Integrated Kidney Services, PLC

  • Nephrology Physician
  • Bay City, MI
National Provider Identifier
1154790632
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
INTEGRATED KIDNEY SERVICES, PLC
Practice address
2210 Neidhammer Dr
Bay City, MI 48706-9497
Phone
(888) 569-4010
NPI assigned
Sep 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Dr. Marco Ramos, M.D.NPI 1184799918
Title
Owner
Phone
(248) 835-5419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2210 Neidhammer Dr
Bay City, MI 48706-9497

Mailing address

2210 Neidhammer Dr
Bay City, MI 48706-9497
Phone (888) 569-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151109001434 MI Part B Supplier - Clinic/Group Practice 3375853047 Receives reassigned benefits from 3 practitioners
Practice locations: West Branch, MI; Saginaw, MI; Mt Pleasant, MI; Midland, MI; Clare, MI; Bay City, MI

National Provider Directory

National Provider Directory

Locations

4 Columbus Ave
Bay City, MI 48708
Phone (989) 377-4400

4 Columbus Ave
Ste 240
Bay City, MI 48708
Phone (989) 509-5967

4677 Towne Centre Rd
Ste 303
Saginaw, MI 48604
Phone (989) 401-5354

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1154790632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 NEIDHAMMER DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069497",
            "telephone_number": "888-569-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 NEIDHAMMER DR",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487069497",
            "telephone_number": "888-569-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED KIDNEY SERVICES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-835-5419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.