Davita Nephrology Medical Associates of Pennsylvania, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF PENNSYLVANIA, PC

Doing business as

Bucks County Kidney Specialist

Practice address

1627 Cole Blvd BLDG 18
Lakewood, CO 80401-3315

Phone

(303) 626-6239

Fax

(866) 917-5396

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Efthim Gabriel, MD

Title

Owner President

Phone

(310) 536-2597

Specialties & licenses 1

Addresses

Other names 1

• Bucks County Kidney Specialist Doing business as

Locations

Practitioners 2

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

• Alfredo L Blas III, MD

  • Hospitalist Physician
  • Williamsport, PA
  • NPI 1063412948
  NPD (past)
• Radhika Pathalapati, MD

  • Nephrology Physician
  • Langhorne, PA
  • NPI 1154498699
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1831266477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 COLE BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013315",
            "telephone_number": "303-626-6239",
            "fax_number": "866-917-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 COLE BLVD BLDG 18",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013315",
            "telephone_number": "303-626-6239",
            "fax_number": "866-917-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF PENNSYLVANIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "EFTHIM",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "310-536-2597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bucks County Kidney Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Michael Davis, DDS
• Susan Davis
• Swan Oshana Davis, D.O.
• Ursa Davis, LPC, NCC
• Tahjae Davison
• Matthew Steven Davoudzadeh, MD
• Britni Allison Dawson-Giles, LP, PSYD
• Elizabeth Dawson
• Jordan Dawson, PHARMD
• Julie R Dawson, LCSW

• Nephrology Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Nephrology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.