ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. – NPI #1104976158
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.

Health Care Provider Taxonomy Code for Internal Medicine

ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. is a provider located in MAPLEWOOD, MN. NPPES has assigned the NPI number 1104976158 to ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. on January 11, 2007. 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 4 years ago on Oct 25, 2022. 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 ASSOCIATED NEPHROLOGY CONSULTANTS, P.A. below.

NPI Profile for
ASSOCIATED NEPHROLOGY CONSULTANTS, P.A.

NPI Number
1104976158
Enumeration Date

(more than 19 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
ASSOCIATED NEPHROLOGY CONSULTANTS, P.A.
Primary location
1997 SLOAN PL STE 17
MAPLEWOOD, MN 55117-2051
Phone: (651) 772-6251 Fax: (651) 224-9661
Mailing address
2854 HIGHWAY 55
SUITE 130
EAGAN, MN 55121-1447
Phone: (651) 842-3378 Fax: (651) 224-5273
Organization Subpart
No
Authorized Official
SHANNON DOYLE
OWNER CEO
Phone: (651) 772-6251
Updated
Certification Date
Oct 25, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ASSOCIATED NEPHROLOGY CONSULTANTS, P.A.

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
medicaidMN223012700
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)		 MN

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.