Pennyrile Nephrology Associates, PSC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PENNYRILE NEPHROLOGY ASSOCIATES, PSC

Practice address

1020 Waterfall CT
Madisonville, KY 42431-8079

Phone

(270) 821-5726

Fax

(270) 326-2090

NPI assigned

Feb 14, 2014

Organization subpart

No

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

Authorized official

Name

Imran Dosani, MD

Title

President

Phone

(270) 821-5726

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386068112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 WATERFALL CT",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424318079",
            "telephone_number": "270-821-5726",
            "fax_number": "270-326-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WATERFALL CT",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424318079",
            "telephone_number": "270-821-5726",
            "fax_number": "270-326-2090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 High St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422406300",
            "country_code": "US",
            "telephone_number": "270-874-2107",
            "fax_number": "270-874-2108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2284 Raleigh Ct Ste C",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370432070",
            "country_code": "US",
            "telephone_number": "931-444-5610",
            "fax_number": "931-444-5629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENNYRILE NEPHROLOGY ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2022-07-21",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "DOSANI",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-821-5726",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100284170",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pennyrile@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pennyrile@directaddress.net",
            "address_1": "1020 Waterfall Ct",
            "city": "Madisonville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424318079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Thaddeus Payne, CRNA
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• Pediatric Health Group PSC
• Tammy Pellegrini
• Heather Rae Pendley
• Pennyrile Nephrology Associates, PSC
• Joshua Perdue
• Leslie Perdue
• Whitney Perdue, C/OTA
• Yerlin Perez Moux, MD

• Nephrology Physician in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Nephrology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.