Community Nephrology Services, Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

COMMUNITY NEPHROLOGY SERVICES, INC.

Practice address

1761 Beall Ave
Suite 3C
Wooster, OH 44691-2342

Phone

(330) 345-5374

NPI assigned

Mar 10, 2014

Organization subpart

No

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

Authorized official

Name

Christine I. Lee, D.O.NPI 1598870446

Title

President

Phone

(330) 345-5374

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9168/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Christine I Lee, D.O.

  • Nephrology Physician
  • Wooster, OH
  • NPI 1598870446
  Medicare reassignment NPD Authorized official
• Tai-CHI Kwok, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Wooster, OH
  • NPI 1407964315
  NPD (past)

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1700202132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "address_2": "SUITE 3C",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "address_2": "SUITE 3C",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-345-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY NEPHROLOGY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-345-5374",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward W Colvin Jr., D.C.
• Amber N Combs, LISW-S
• John Andrew Comley, PSY.D.
• Community Action Wayne/Medina
• Community Health Network LTD
• Complete Chiropractic Life Center
• Comprehensive Internal Medicine, Inc
• Harley Comtois
• Allison Louise Conner, LPN
• Tasha C Conner

• Nephrology Physician in Wooster, OH
• Providers in Wooster, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.