Lewis Clark Kidney Center LLC

Primary specialty

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

Legal business name

LEWIS CLARK KIDNEY CENTER LLC

Practice address

222 Southway Ave Ste a
Lewiston, ID 83501-2703

Phone

(208) 743-9986

Fax

(208) 743-1318

NPI assigned

Feb 4, 2014

Organization subpart

No

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

Authorized official

Name

Ajith J Kumar, M.D.NPI 1609952381

Title

Medical Director

Phone

(208) 743-9986

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ajith J Kumar, MD

  • Nephrology Physician
  • Lewiston, ID
  • NPI 1609952381
  NPD Authorized official

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1437573995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 G ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012034",
            "telephone_number": "208-743-9986",
            "fax_number": "208-743-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SOUTHWAY AVE STE A",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012703",
            "telephone_number": "208-743-9986",
            "fax_number": "208-743-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS CLARK KIDNEY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "AJITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "208-743-9986",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Scott Leon, MD
• Lewis & Clark Orthopaedic Institute LLC
• Lewis Clark Endoscopy, PLLC
• Lewis Clark Gastroenterology PLLC
• Lewis Clark Imaging, LLC
• Lewis Clark State College
• Lewis-Clark Kidney Center LLC
• Lewis-Clark State College
• Chad Michael Lewis, N.P.
• Gay Adele Lewis, LPC 6339

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lewiston, ID
• Providers in Lewiston, ID by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.