RCG of Dermott, LLC

Primary specialty

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

Legal business name

RCG OF DERMOTT, LLC

Practice address

1997 Medical Park Dr
Greenville, MS 38703-7268

Phone

(662) 335-4105

Fax

(662) 378-2879

NPI assigned

Sep 17, 2013

Last updated

Sep 17, 2013By 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

Dr. Ned O Kronfol, MD

Title

Owner/President

Phone

(662) 335-4105

Specialties & licenses 1

Addresses

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": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1386070860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E PEDDICORD ST",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "716382314",
            "telephone_number": "662-335-4105",
            "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": "662-335-4105",
            "fax_number": "662-378-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCG OF DERMOTT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "KRONFOL",
        "authorized_official_first_name": "NED",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "662-335-4105",
        "authorized_official_name_prefix": "Dr.",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Kenyatta Ratliff
• James A Ray, APRN
• Jean Elizabeth Ray
• RB Medical Equipment, LLC (Charter Medical of Greenville)
• RCG Mississippi, Inc. (RCG Greenville)
• Pandora Redmond-Wills, RN
• Regional Surgical Centre, Inc.
• Eric Lee Reimund, M.D.
• Reliable Trips
• Renia R Dotson MD PC

• 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 Sep 17, 2013; 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.