Selma Nephrology Associates, PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

9217 Issued in AL

Legal business name

SELMA NEPHROLOGY ASSOCIATES, PA

Practice address

905 Medical Center Pkwy
Selma, AL 36701-6746

Phone

(334) 874-6053

Fax

(334) 418-0726

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Kent Taylor, MD

Title

President

Phone

(334) 874-6053

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 1

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

• Dimtcho V Popov, MD

  • Nephrology Physician
  • Monroe, LA
  • NPI 1740289230
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1316913445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367020384",
            "telephone_number": "334-874-6053",
            "fax_number": "334-418-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MEDICAL CENTER PKWY",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016746",
            "telephone_number": "334-874-6053",
            "fax_number": "334-418-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELMA NEPHROLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-874-6053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "9217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TA000005679",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "51517691",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SE528700710",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TA000075573",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "051075573",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "051005679",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TA009931425",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selma Heart Institute,PC
• Selma Innovation Technology Training Institute
• Selma Kidney Care Inc
• Selma Medical Associates, P.C.
• Selma Medical Weight Loss and Spa
• Selma Open MRI, LLC
• Selma Pain & Injury Center
• Selma Peditrics, P.C.
• Selma Surgical Associates, LLC
• Selma Women'S Health, LLC

• Nephrology Physician in Selma, AL
• Providers in Selma, AL by specialty
• Nephrology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.