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PROVO KIDNEY CARE LLC
NPI 1972056893
Internal Medicine - Nephrology in Waltham, MA

Active since July 27, 2016
920 WINTER ST, WALTHAM, MA 02451(480) 639-7186(602) 798-8267 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Provo Kidney Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVO KIDNEY CARE LLC (NPI 1972056893) is a healthcare organization registered as a nephrology in Waltham, Massachusetts and active in the NPI registry since July 2016. The organization lists Pamela Vp, Vice President, as its authorized official.

NPPES Registry Identity

NPI1972056893
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePROVO KIDNEY CARE LLC
Location Address920 WINTER STWaltham, MA 02451-1521
Mailing Address920 Winter StWaltham, MA 02451-1521 · (480) 639-7186 · Fax (602) 798-8267
Phone(480) 639-7186
Fax(602) 798-8267
Organization SubpartNo
Authorized OfficialPamela VpVice President · (480) 639-7186
Enumeration DateJuly 27, 2016
✔ NPI 1972056893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in UT · 001
Definition
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.
920 WINTER ST, Waltham, MA 02451
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW ORLEANS KIDNEY CARE LLC
Internal Medicine (Nephrology)
920 WINTER ST
WALTHAM, MA 02451
Middlesex County (844) 540-8736
FRESENIUS VASCULAR CARE, INC
Radiology (Vascular & Interventional Radiology)
920 WINTER ST
WALTHAM, MA 02451
Middlesex County (781) 699-9000
FRESENIUS MANAGEMENT SERVICES, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
920 WINTER ST
WALTHAM, MA 02451
Middlesex County (781) 699-9000
ALBANY KIDNEY CARE LLC
Internal Medicine (Nephrology)
920 WINTER ST
WALTHAM, MA 02451
Middlesex County (480) 639-7185
DENNIS DUGAN R.N.
Registered Nurse (Hemodialysis)
920 WINTER ST
WALTHAM, MA 02451
Middlesex County (610) 256-2439
FRONT RANGE KIDNEY CARE PLLC
Internal Medicine (Nephrology)
920 WINTER ST
WALTHAM, MA 02451
Middlesex County (480) 639-7186
FRESENIUS MEDICAL CARE
Preferred Provider Organization
920 WINTER ST
WALTHAM, MA 02451
Middlesex County (781) 699-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provo Kidney Care LLC's NPI number?

The NPI number for Provo Kidney Care LLC is 1972056893. It was assigned to this organization in the NPPES registry on July 27, 2016.

Where is Provo Kidney Care LLC located?

Provo Kidney Care LLC is located at 920 Winter St, Waltham, MA 02451. The listed phone number is (480) 639-7186.

What is Provo Kidney Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Provo Kidney Care LLC was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.