Addison Kidney Consulting PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

15775 Issued in WV

Legal business name

ADDISON KIDNEY CONSULTING PLLC

Practice address

331 Laidley St
Suite 307
Charleston, WV 25301-1619

Phone

(304) 208-1414

Fax

(304) 344-2108

NPI assigned

Jan 8, 2010

Last updated

Feb 20, 2019By 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

Jeffery F. Addison, M.D.NPI 1972548618

Title

Managing Member

Phone

(304) 205-7790

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery F Addison, MD

  • Nephrology Physician
  • Charleston, WV
  • NPI 1972548618
  Authorized official Same address or phone

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1972833267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 LAIDLEY ST STE 204",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011605",
            "telephone_number": "304-205-7790",
            "fax_number": "304-205-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 LAIDLEY ST",
            "address_2": "SUITE 307",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011619",
            "telephone_number": "304-208-1414",
            "fax_number": "304-344-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON KIDNEY CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "304-205-7790",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "15775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Adams
• Tracey Douglas Adams, FNP-C
• Crystal Adamson
• Haleigh Addair
• Emma Addington
• Brandy Addison
• Jeffery F Addison, MD
• Ankita Adhikari, M.D.
• Alexander Adjetey
• Amanda Marie Adkins

• Nephrology Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Nephrology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.