Midlands Nephrology Associates, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

10735 Issued in SC

Legal business name

MIDLANDS NEPHROLOGY ASSOCIATES, PA

Practice address

204 Cowdray Park
Columbia, SC 29223-8128

Phone

(803) 736-0963

Fax

(803) 736-0963

NPI assigned

Dec 27, 2007

Last updated

Feb 9, 2010By 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

Dr. Kim Vo, MDNPI 1730150483

Title

Office Manager

Phone

(803) 736-0963

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Kim Van Vo, MD

  • Nephrology Physician
  • Columbia, SC
  • NPI 1730150483
  NPD (past) Authorized official
• Muhammad Muhammad Islam, MD

  • Nephrology Physician
  • Columbia, SC
  • NPI 1366531568
  NPD (past)
• Nguyen Duc Thieu, M.D.

  • Gastroenterology Physician
  • Charleston, SC
  • NPI 1346218583
  NPD (past)

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1205010188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 COWDRAY PARK",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238128",
            "telephone_number": "803-736-0963",
            "fax_number": "803-736-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 COWDRAY PARK",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238128",
            "telephone_number": "803-736-0963",
            "fax_number": "803-736-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS NEPHROLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-736-0963",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "10735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP 1717",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midlands Housing Alliance Inc-Transitions
• Midlands Mediation & Associates LLC
• Midlands Medical Group
• Midlands Medical Group LLC
• Midlands Medical Wellness Center, LLC
• Midlands Neurology & Pain Assoc, P.a
• Midlands Neurology & Pain Assoc, P.a
• Midlands Oral and Maxillofacial Surgery
• Midlands Orthodontics LLC (Midlands Orthodontics)
• Midlands Orthopaedics and Neurosurgery PA

• Specialist in Columbia, SC
• Providers in Columbia, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.