Kidney Care, P.C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY CARE, P.C.

Practice address

2603 Davie Ave
Statesville, NC 28625-8256

Phone

(704) 873-6515

Fax

(704) 873-6508

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Shelia G Pennell

Title

Practice Manager

Phone

(704) 873-6515

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Wolfgang Erich Lohrmann, MD

  • Nephrology Physician
  • Statesville, NC
  • NPI 1225059017
  Medicare reassignment Care Compare group NPD
• Rachael P Crews, PA-C

  • Medical Physician Assistant
  • Statesville, NC
  • NPI 1881371045
  Medicare reassignment Care Compare group
• Jean-Claude Hyppolite, MD

  • Nephrology Physician
  • Statesville, NC
  • NPI 1730150459
  NPD
• Richard J Handler, M.D.

  • Nephrology Physician
  • Vero Beach, FL
  • NPI 1932158235
  NPD
• Ernesto Luis Aranda Aguirre, MD

  • Infectious Disease Physician
  • Winston Salem, NC
  • NPI 1245683275
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295780781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258256",
            "telephone_number": "704-873-6515",
            "fax_number": "704-873-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258256",
            "telephone_number": "704-873-6515",
            "fax_number": "704-873-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENNELL",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "704-873-6515"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890153L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Edward Kennedy, PA-C
• Amy E Kester, FNP-BC
• Rudy Max Ketchie, DMD
• Fayez Azir Khan, DDS
• Vichka Simon Khoy, PHARMD
• Jennifer Leanne Kilby, CADC
• Janice Eileen Kiley, MSW, LCSW
• Robert Roy Kimball, M.D
• Sharon Grace King-O'Connor, LPC
• Alexis Elleane King, OTR/L

• Nephrology Physician in Statesville, NC
• Providers in Statesville, NC by specialty
• Nephrology Physician in North Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.