AXIS NEPHROLOGY PLLC – NPI #1104868462
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

AXIS NEPHROLOGY PLLC is a provider located in TACOMA, WA. NPPES has assigned the NPI number 1104868462 to AXIS NEPHROLOGY PLLC on June 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 18 years ago on Jun 16, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AXIS NEPHROLOGY PLLC below.

NPI Profile for
AXIS NEPHROLOGY PLLC

NPI Number
1104868462
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AXIS NEPHROLOGY PLLC
Primary location
1708 S YAKIMA AVE
SUITE 107
TACOMA, WA 98405
Phone: (253) 272-5881 Fax: (253) 383-0161
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID DEMPSTER
CREDENTIALING- BILLING SPECIALIST
Phone: (253) 272-5881
Updated
Identifiers

Identifiers for AXIS NEPHROLOGY PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA7128556
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
WA MD00040610

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.