Active NPI
Kidney Associates PLLC
- Nephrology Physician
- Hamlin, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- KIDNEY ASSOCIATES PLLC
- Practice address
- 8152-B Court Avenue
Hamlin, WV 25523 - Phone
- (304) 824-7980
- Fax
- (304) 824-7982
- NPI assigned
- Mar 3, 2008
- Last updated
- Mar 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Medenilla Zuniga, MD
- Title
- Owner
- Phone
- (304) 767-7920
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | WV | Primary |
Addresses
Primary practice location
8152-B Court Avenue
Hamlin, WV 25523
Mailing address
4607 Maccorkle Ave SW
Suite 206
South Charleston, WV 25309-1364
Phone (304) 767-7920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9326121 | Other | MEDICARE GROUP NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Kidney Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nephrology Physician
- Hurricane, WV
- NPI 1730391731
Locations
8152 Court Ave
#B
Hamlin, WV 25523
Phone (304) 824-7980
Practitioners & affiliated clinicians
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.
-
- Nephrology Physician
- Hurricane, WV
- NPI 1831167212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204502400000",
"number": "1295905610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4607 MACCORKLE AVE SW",
"address_2": "SUITE 206",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253091364",
"telephone_number": "304-767-7920",
"fax_number": "304-767-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8152-B COURT AVENUE",
"city": "HAMLIN",
"state": "WV",
"postal_code": "25523",
"telephone_number": "304-824-7980",
"fax_number": "304-824-7982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDNEY ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-03",
"last_updated": "2008-03-03",
"status": "A",
"authorized_official_last_name": "ZUNIGA",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "MEDENILLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-767-7920",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "9326121",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamlin, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.