Valach Nephrology, Hypertension and Internal Medicine, PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

16660 Issued in AR

Legal business name

VALACH NEPHROLOGY, HYPERTENSION AND INTERNAL MEDICINE, PA

Practice address

1409 Highway 201 N
Suite 1
Mountain Home, AR 72653-2425

Phone

(870) 508-5010

Fax

(870) 508-5020

NPI assigned

Jul 22, 2005

Organization subpart

No

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

Authorized official

Name

Daniel Pesek Valach, M.D.NPI 1235139007

Title

Nephrologist

Phone

(870) 508-5010

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 3

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

• Daniel Pesek Valach, M.D.

  • Nephrology Physician
  • Mountain Home, AR
  • NPI 1235139007
  Medicare reassignment NPD Authorized official
• Alicia Diane Henard, CCC-SLP

  • Speech-Language Pathologist
  • Mountain Home, AR
  • NPI 1295887438
  NPD (past)
• Kofi Asante Appiah, M.D.

  • Nephrology Physician
  • Spartanburg, SC
  • NPI 1346200961
  NPD (past)

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1528068244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 HIGHWAY 201 N",
            "address_2": "SUITE 1",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532425",
            "telephone_number": "870-508-5010",
            "fax_number": "870-508-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 HIGHWAY 201 N",
            "address_2": "SUITE 1",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532425",
            "telephone_number": "870-508-5010",
            "fax_number": "870-508-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALACH NEPHROLOGY, HYPERTENSION AND INTERNAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "VALACH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PESEK",
        "authorized_official_title_or_position": "NEPHROLOGIST",
        "authorized_official_telephone_number": "870-508-5010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "16660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE SHIELD",
            "identifier": "5C747",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149116002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Twin River Community Living Facility
• Twin Rivers Respiratory Care, Inc.
• Elisa J. Tyler, MHPP
• Mark Ludean Ungerank, DC
• Kimberly Petkovich Vaglio, D.D.S.
• Daniel Pesek Valach, M.D.
• Kendra Van Eperen
• Talli Vance, MOTR/L
• Lesli Don Vargas, NP-C
• Kathy Vaughan, RN

• Nephrology Physician in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Nephrology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.