NPIMap

Organization Active NPI

Davita Nephrology Medical Associates of Washington, PC

Doing business as DaVita Nephrology Partners

  • Nephrology Physician
  • Richland, WA
National Provider Identifier
1346276797
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF WASHINGTON, PC
Doing business as
DaVita Nephrology Partners
Practice address
309 Bradley Blvd
Suite 101
Richland, WA 99352-4381
Phone
(541) 564-1810
Fax
(541) 564-1812
NPI assigned
Jun 25, 2006
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Dr. Anthony E. Gabriel, MD
Title
Owner/President
Phone
(310) 536-2615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

309 Bradley Blvd
Suite 101
Richland, WA 99352-4381

Mailing address

PO Box 9429
Belfast, ME 04915-9429
Phone (303) 626-6239

Other identifiers 2

IdentifierTypeStateIssuer
7126378MedicaidWA
G8851020OtherWAMEDICARE GROUP NUMBER

Other names 1

  • DaVita Nephrology Partners Doing business as

National Provider Directory

National Provider Directory

Locations

1140 W Jefferson St
Franklin, IN 46131
Phone (317) 736-4337

117 S 3rd Ave
Ste A
Pasco, WA 99301
Phone (509) 545-0205

2615 SW Trenton St
Ste A
Seattle, WA 98126
Phone (206) 935-5423

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1346276797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9429",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159429",
            "telephone_number": "303-626-6239",
            "fax_number": "866-917-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BRADLEY BLVD",
            "address_2": "SUITE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524381",
            "telephone_number": "541-564-1810",
            "fax_number": "541-564-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF WASHINGTON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-536-2615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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": "7126378",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "G8851020",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DaVita Nephrology Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.