NORTHEAST RENAL & DIALYSIS, A PROFESSIONAL MEDICAL CORPORATION
NPI 1578989505
Internal Medicine - Nephrology in Monroe, LA
- Organization
- Internal Medicine
- Nephrology
About NORTHEAST RENAL & DIALYSIS, A PROFESSIONAL MEDICAL CORPORATION
This page provides the complete NPI Profile along with additional information for Northeast Renal & Dialysis, A Professional Medical Corporation, an internist established in Monroe, Louisiana operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1578989505 assigned on March 2014. The practitioner's primary taxonomy code is 207RN0300X with license number MD.204452 (LA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. David Earl Pruett M.d. (President/owner)
- NPI
- 1578989505 Verify this NPI
- Provider Name
- NORTHEAST RENAL & DIALYSIS, A PROFESSIONAL MEDICAL CORPORATION
- Entity Type
- Organization
- Location Address
- 1908 ROYAL AVE MONROE, LA 71201
- Location Phone
- (318) 325-5435
- Location Fax
- (318) 325-8852
- Mailing Address
- 1908 ROYAL AVE MONROE, LA 71201
- Mailing Phone
- (318) 325-5435
- Mailing Fax
- (318) 325-8852
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-14-2014
- Last Update Date
- 10-22-2014
- Code Navigator
An internist like Northeast Renal & Dialysis, A Professional Medical Corporation is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Nephrology
- Taxonomy Code
- 207RN0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD.204452
- License State
- LA
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2152203 | MEDICAID (05) | LA |
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
MONROE, LA 71201
MONROE, LA 71201
MONROE, LA 71201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578989505, enumerated as an "organization" on March 14, 2014.
The provider is located at 1908 ROYAL AVE MONROE, LA 71201 and the phone number is (318) 325-5435.
Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
