Tri-Cities Nephrology, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD00043231 Issued in WA

Legal business name

TRI-CITIES NEPHROLOGY, LLC

Practice address

833 Swift Blvd
Richland, WA 99352-3513

Phone

(509) 942-3627

Fax

(509) 943-5922

NPI assigned

Dec 14, 2009

Organization subpart

Yes

Parent organization

KADLEC HEALTH SYSTEMAs reported in NPPES

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

Authorized official

Name

Rand Wortman

Title

President/Ceo

Phone

(509) 946-4611

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Robert A Pleyo, ARNP

  • Adult Health Nurse Practitioner
  • Richland, WA
  • NPI 1861631384
  NPD (past)
• Fadi Husayn Akoum, M.D.

  • Nephrology Physician
  • Hermiston, OR
  • NPI 1952577231
  NPD (past)

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1205165602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 GOETHALS DR",
            "address_2": "SUITE 200",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523552",
            "telephone_number": "509-942-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SWIFT BLVD",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523513",
            "telephone_number": "509-942-3627",
            "fax_number": "509-943-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES NEPHROLOGY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KADLEC HEALTH SYSTEM",
        "enumeration_date": "2009-12-14",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "WORTMAN",
        "authorized_official_first_name": "RAND",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "509-946-4611"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00043231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205165602",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0258389",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri-Cities Diabetes PLLC
• Tri-Cities Digestive Health Center, P.S.
• Tri-Cities Laboratory LLC
• Tri-Cities Laboratory LLC
• Tri-Cities Marital and Family Therapy
• Tri-Cities Physical Med & Rehab
• Tri-Cities Sexual Health PLLC
• Tri-Cities Sexual Health PLLC
• Tri-City Anesthesia and Pain Management, PLLC
• Tri-City Dermatology PLLC

• Nephrology Physician in Richland, WA
• Providers in Richland, WA by specialty
• Nephrology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.