NPIMap

Organization Active NPI

Nephrology Medical Associates of Ga, LLC

Doing business as Oregon Kidney and Hypertension Clinic

  • Nephrology Physician
  • Vancouver, WA
National Provider Identifier
1841691250
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY MEDICAL ASSOCIATES OF GA, LLC
Doing business as
Oregon Kidney and Hypertension Clinic
Practice address
315 SE Stonemill Dr
Suite 220
Vancouver, WA 98684-6998
Phone
(503) 284-1937
NPI assigned
Sep 5, 2014
Last updated
Sep 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Deron Frank
Title
General Manager/Vice President
Phone
(310) 536-2402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

315 SE Stonemill Dr
Suite 220
Vancouver, WA 98684-6998

Mailing address

2000 16TH St
Denver, CO 80202-5158
Phone (303) 876-7243

Other names 1

  • Oregon Kidney and Hypertension Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davita Kidney Specialists of Alabama5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1841691250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 16TH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025158",
            "telephone_number": "303-876-7243",
            "fax_number": "866-917-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SE STONEMILL DR",
            "address_2": "SUITE 220",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846998",
            "telephone_number": "503-284-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY MEDICAL ASSOCIATES OF GA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "DERON",
        "authorized_official_title_or_position": "GENERAL MANAGER/VICE PRESIDENT",
        "authorized_official_telephone_number": "310-536-2402"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Kidney and Hypertension Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.