Mid Delta Kidney Center

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

MID DELTA KIDNEY CENTER

Practice address

1997 Medical Park Dr
Greenville, MS 38703-7268

Phone

(662) 332-7100

Fax

(662) 378-2879

NPI assigned

Aug 30, 2006

Last updated

Jun 28, 2008By 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

Ned Kronfol, MD

Title

Owner

Phone

(662) 335-4105

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Nouhad O Kronfol, M.D.

  • Nephrology Physician
  • Greenville, MS
  • NPI 1033142724
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214611200000",
    "number": "1336259548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 MEDICAL PARK DR",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037268",
            "telephone_number": "662-332-7100",
            "fax_number": "662-378-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 MEDICAL PARK DR",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037268",
            "telephone_number": "662-332-7100",
            "fax_number": "662-378-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID DELTA KIDNEY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-28",
        "status": "A",
        "authorized_official_last_name": "KRONFOL",
        "authorized_official_first_name": "NED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-335-4105",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220419",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Med Imaging, Inc
• Medical Foundation of Central Ms Inc (Baptist Jackson Heart Cardiology Clinic Greenville)
• Medical Foundation of Central Ms Inc (Baptist Heart Greenville)
• Sonia S Merchant
• Michelle Seard-Higgins DMD PLLC (Taryon Michelle-Seard Higgins)
• Mid-Delta Properties LLC (Washington Care Center)
• Milestone Community Development Center
• Miller Transportation
• Broderick Miller
• Justin Miller

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Greenville, MS
• Providers in Greenville, MS by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.