Kidney Center of Walker County LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

M1828 Issued in TX

Legal business name

KIDNEY CENTER OF WALKER COUNTY LLC

Practice address

102 Medical Park LN
Suite a
Huntsville, TX 77340-4975

Phone

(936) 294-0971

Fax

(936) 294-0977

NPI assigned

Jan 31, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Dave S Khurana, MDNPI 1700945250

Title

Owner

Phone

(936) 294-0971

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HBJHCA

Practitioners 1

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

• Dave S Khurana, MD

  • Nephrology Physician
  • Huntsville, TX
  • NPI 1700945250
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1780007435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MEDICAL PARK LN",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404975",
            "telephone_number": "936-294-0971",
            "fax_number": "936-294-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MEDICAL PARK LN",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404975",
            "telephone_number": "936-294-0971",
            "fax_number": "936-294-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CENTER OF WALKER COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "KHURANA",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-294-0971",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M1828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Richard Kenworthy, MD
• Glen Kercher, PH.D.
• Nabeel A Khan, M.D.
• Neil Khanna
• Dave S Khurana, MD
• Purity Kimani
• Aaron King
• Abbe Drew King, N.P.
• Michaela King, PHARM D
• Kirk a Duncan

• Nephrology Physician in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Nephrology Physician in Texas

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