Oconee Kidney Center, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

OCONEE KIDNEY CENTER, LLC

Practice address

109 Omni Dr
Suite B
Seneca, SC 29672-9448

Phone

(864) 885-7881

Fax

(864) 885-7885

NPI assigned

Apr 10, 2015

Last updated

Apr 10, 2015By 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

Kevin Ross O'Brien, D.O.NPI 1588636138

Title

Owner

Phone

(864) 885-7881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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.

• Kevin O Brien, D.O.

  • Nephrology Physician
  • Seneca, SC
  • NPI 1588636138
  Medicare reassignment Care Compare group NPD Authorized official
• Helen Nichole Johnson-Wall, M.D.

  • Internal Medicine Physician
  • Seneca, SC
  • NPI 1730151481
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1407242050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 OMNI DR",
            "address_2": "SUITE B",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729448",
            "telephone_number": "864-885-7881",
            "fax_number": "864-885-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OMNI DR",
            "address_2": "SUITE B",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729448",
            "telephone_number": "864-885-7881",
            "fax_number": "864-885-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE KIDNEY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-885-7881",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oconee County Disabilities & Special Needs Board
• Oconee Family Practice
• Oconee G.I. Clinic
• Oconee Home Health
• Oconee Internal Medicine Associates, PA
• Oconee Medical Center (Oconee Hospice of the Foothills)
• Oconee Medical Center
• Oconee Medical Center (Lila Doyle at Oconee Medical Center)
• Oconee Neighborhood Pharmacy LLC
• Oconee OB-GYN Associates, P.a.

• Nephrology Physician in Seneca, SC
• Providers in Seneca, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.