PROVO KIDNEY CARE LLC – NPI #1972056893
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

PROVO KIDNEY CARE LLC is a provider located in WALTHAM, MA. NPPES has assigned the NPI number 1972056893 to PROVO KIDNEY CARE LLC on July 27, 2016. 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

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 PROVO KIDNEY CARE LLC below.

NPI Profile for
PROVO KIDNEY CARE LLC

NPI Number
1972056893
Enumeration Date

(about 10 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
PROVO KIDNEY CARE LLC
Primary location
920 WINTER ST
WALTHAM, MA 02451-1521
Phone: (480) 639-7186 Fax: (602) 798-8267
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAMELA VP
VICE PRESIDENT
Phone: (480) 639-7186
Updated
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)		 UT 001

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.