Jefferson Nephrology, LTD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

JEFFERSON NEPHROLOGY, LTD

Practice address

675 Peter Jefferson Pkwy
Suite 140
Charlottesville, VA 22911-8618

Phone

(434) 295-6374

Fax

(434) 293-4990

NPI assigned

Jan 13, 2006

Last updated

Oct 28, 2013By 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

Kevin R. McConnell, MDNPI 1225018294

Title

Owner

Phone

(434) 295-6374

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kevin R McConnell, MD

  • Nephrology Physician
  • Charlottesville, VA
  • NPI 1225018294
  Authorized official Same address or phone

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1174502413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1583",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229021583",
            "telephone_number": "434-654-7794",
            "fax_number": "434-654-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PETER JEFFERSON PKWY",
            "address_2": "SUITE 140",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118618",
            "telephone_number": "434-295-6374",
            "fax_number": "434-293-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON NEPHROLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-295-6374",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Kirk Jayne, CRNA
• JC Wolfe DDS PC
• Jeff Katra Medical Services. PLLC (Synapse Integrative Medicine)
• Jefferson Area Board for Aging
• Jefferson Cardiovascular Associates
• Jefferson OB GYN LTD
• Jefferson OB GYN LTD
• Jefferson Trail Treatment Center for Children
• Jefferson Trail Treatment Center for Children
• Natalie Jefferson, APN

• Nephrology Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Nephrology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.