Medicine and Nephrology Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDICINE AND NEPHROLOGY CLINIC LLC

Practice address

700 W Central Ave Ste 206
El Dorado, KS 67042-2186

Phone

(316) 452-5455

Fax

(316) 321-0503

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ndubueze Fidelis Okonkwo, M.D

Title

Owner

Phone

(316) 452-5455

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1427509751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE STE 206",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422186",
            "telephone_number": "316-452-5455",
            "fax_number": "316-321-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W CENTRAL AVE STE 206",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422186",
            "telephone_number": "316-452-5455",
            "fax_number": "316-321-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE AND NEPHROLOGY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "OKONKWO",
        "authorized_official_first_name": "NDUBUEZE",
        "authorized_official_middle_name": "FIDELIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-452-5455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972118",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Joyce McIntire
• Christine M McKee, DPT
• Paul Obrien McKesey, MD
• Tommie Lee McKibban, CRNA
• Kaileigh Beth McLaughlin, D.C.
• Catherine Melrose
• Jessica Leigh Michel, D.P.T.
• Mid-America Anesthesia Professionals LLC
• Mid-America Orthopedics LLC
• Jacob Milbradt, PHARMD

• All providers in El Dorado, KS
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.