Wa-Spok Kidney Care LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

WA-SPOK KIDNEY CARE LLC

Practice address

801 West Fifth Ave
Suite 509
Spokane, WA 99204-2841

Phone

(509) 473-3796

Fax

(509) 473-3793

NPI assigned

Sep 19, 2008

Organization subpart

Yes

Parent organization

WA SPOK KIDNEY CARE LLCAs reported in NPPES

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

Authorized official

Name

Debbie T Brewer

Title

Director

Phone

(877) 892-9813

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• KIDNEY CARE SPOKANE Doing business as

Part of

Wa Spok Kidney Care LLC

Practitioners 1

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

• Krishna M. Malireddi, MD

  • Nephrology Physician
  • Spokane, WA
  • NPI 1780778746
  NPD (past)

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1902056583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "SUITE 180",
            "city": "BRENTWOOF",
            "state": "TN",
            "postal_code": "370272851",
            "telephone_number": "800-703-7345",
            "fax_number": "615-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WEST FIFTH AVE",
            "address_2": "SUITE 509",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042841",
            "telephone_number": "509-473-3796",
            "fax_number": "509-473-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WA-SPOK KIDNEY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WA SPOK KIDNEY CARE LLC",
        "enumeration_date": "2008-09-19",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "0241851",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7144520",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDNEY CARE SPOKANE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Mikael Vuletich, BA
• Belinda Wenjie Vuong, M.D.
• Christine Vuong, D.O.
• Wa Spok DH Crna LLC
• Wa-Spok DH Urgent Care LLC
• Wa-Spok Medical Care LLC
• Wa-Spok Primary Care LLC
• Wa-Spok Pulmonary & Critical Care LLC
• Harland C Wable, MS, SUDPC, LMHA
• Johnna Rae Wacholtz

• Nephrology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Nephrology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.