NPIMap

Organization Active NPI

Carbon Medical Associates

  • Nephrology Physician
  • Palmerton, PA
National Provider Identifier
1164564373
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CARBON MEDICAL ASSOCIATES
Practice address
218 Delaware Ave
Suite a
Palmerton, PA 18071-1858
Phone
(610) 826-6353
Fax
(610) 826-6359
NPI assigned
Feb 13, 2007
Organization subpart
Yes
Parent organization
CARBON MEDICAL ASSOCIATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Mrs. Kimberly Susan Bock
Title
Office Manager
Phone
(610) 824-3752

Specialties & licenses 1

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

Addresses

Primary practice location

218 Delaware Ave
Suite a
Palmerton, PA 18071-1858

Mailing address

218 Delaware Ave
Suite a
Palmerton, PA 18071-1858
Phone (610) 826-6353

Other names 1

  • Carbon Nephrology Associates Former legal business name

National Provider Directory

National Provider Directory
Part of
Carbon Medical Assoc Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1164564373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 DELAWARE AVE",
            "address_2": "SUITE A",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711858",
            "telephone_number": "610-826-6353",
            "fax_number": "610-826-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 DELAWARE AVE",
            "address_2": "SUITE A",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711858",
            "telephone_number": "610-826-6353",
            "fax_number": "610-826-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARBON MEDICAL ASSOCIATES INC",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-824-3752",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carbon Nephrology Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Palmerton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.