The Kidney Institute, LTD.

Primary specialty

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

Legal business name

THE KIDNEY INSTITUTE, LTD.

Practice address

601 N 99TH St
Suite 300
Wauwatosa, WI 53226-4339

Phone

(414) 778-1623

Fax

(414) 778-1631

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Herbert S Lawson

Title

Cfo

Phone

(303) 785-7521

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477624963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CENTRAL AVE",
            "address_2": "SUITE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012838",
            "telephone_number": "303-785-7523",
            "fax_number": "303-444-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 99TH ST",
            "address_2": "SUITE 300",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264339",
            "telephone_number": "414-778-1623",
            "fax_number": "414-778-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDNEY INSTITUTE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-785-7521"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42056800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Ruth Teschner
• Jeffrey D Tezak, PT
• Anjali D Thakrar, PAC
• Ilakkiya Thanigaivelan, MD
• David C Thao, D.D.S
• The Lactation Clinic of Southeast Wisconsin, Inc
• The Lutheran Home, Inc.
• The Redi Clinic of Wauwatosa, SC
• The Wisconsin Heart Hospital, Inc
• Katherine M Theado, LCSW

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.