NPIMap

Organization Active NPI

Chronic Kidney Disease and Hypertension Specialists, LLC

  • Nephrology Physician
  • Columbus, OH
National Provider Identifier
1194875336
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CHRONIC KIDNEY DISEASE AND HYPERTENSION SPECIALISTS, LLC
Practice address
51 S Souder Ave
First Floor
Columbus, OH 43222-1548
Phone
(614) 223-0043
Fax
(614) 453-0601
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Tika Marlowe
Title
Office Manager
Phone
(614) 223-0043

Specialties & licenses 1

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

Addresses

Primary practice location

51 S Souder Ave
First Floor
Columbus, OH 43222-1548

Mailing address

51 S Souder Ave
First Floor
Columbus, OH 43222-1548
Phone (614) 223-0043

National Provider Directory

National Provider Directory

Locations

51 S Souder Ave
Ste 1
Columbus, OH 43222
Phone (614) 223-0043

Practitioners & affiliated clinicians

Practitioners 2

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": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194875336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 S SOUDER AVE",
            "address_2": "FIRST FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221548",
            "telephone_number": "614-223-0043",
            "fax_number": "614-453-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 S SOUDER AVE",
            "address_2": "FIRST FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221548",
            "telephone_number": "614-223-0043",
            "fax_number": "614-453-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRONIC KIDNEY DISEASE AND HYPERTENSION SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARLOWE",
        "authorized_official_first_name": "TIKA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-223-0043",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.