Nephrology Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

NEPHROLOGY INC

Practice address

700 Waterbury Park Drive
Elkhart, IN 46517-2339

Phone

(574) 294-4444

Fax

(574) 295-7400

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Keith Mentz

Title

Ceo

Phone

(574) 273-6787

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972503548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 RED COACH DRIVE",
            "address_2": "SUITE D",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453519",
            "telephone_number": "574-273-6787",
            "fax_number": "574-968-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WATERBURY PARK DRIVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465172339",
            "telephone_number": "574-294-4444",
            "fax_number": "574-295-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENTZ",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-273-6787"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Jo Sauder Neff, LCSW
• Kimberly M Neff, LCSW
• Elizabeth Nelson
• Kayla Nelson
• Loren Nelson, DDS
• Kevin Esler Ness, LCSW
• Deborah Carol Nethercutt, NP-C
• Narayan P Neupane, MD
• New Amsterdam Anesthesia PC
• Jill J Newcomer, NP-C

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Elkhart, IN
• Providers in Elkhart, IN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.