Hibernian Nephrology Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101048242 Issued in VA

Legal business name

HIBERNIAN NEPHROLOGY GROUP

Practice address

322 Valley St NE
Suite a
Abingdon, VA 24210-2912

Phone

(276) 628-1106

Fax

(276) 676-0215

NPI assigned

May 3, 2007

Last updated

Jun 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ernest N. Henry, M.D.

Title

Owner

Phone

(276) 628-1106

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1861604076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 VALLEY ST NE",
            "address_2": "SUITE A",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102912",
            "telephone_number": "276-628-1106",
            "fax_number": "276-676-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 VALLEY ST NE",
            "address_2": "SUITE A",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102912",
            "telephone_number": "276-628-1106",
            "fax_number": "276-676-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBERNIAN NEPHROLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-628-1106",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101048242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.