SOUTHEASTERN NEPHROLOGY ASSOC
NPI 1457641946
Internal Medicine - Nephrology in Wilmington, NC

NPI Status: Active since April 18, 2011

Contact Information

1302 MEDICAL CENTER DR
WILMINGTON, NC
ZIP 28401
Phone: (910) 763-4401

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  • Organization
  • Internal Medicine
  • Nephrology

About SOUTHEASTERN NEPHROLOGY ASSOC

This page provides the complete NPI Profile along with additional information for Southeastern Nephrology Assoc, an internist established in Wilmington, North Carolina operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1457641946 assigned on April 2011. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Southeastern Nephrology Assoc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Southeastern Nephrology Assoc. The authorized official of this NPI record is Christopher Thomas Frederick (Cfo)

NPI
1457641946
Provider Legal Name
PRIVATE DIAGNOSTIC CLINIC, PLLC
Other Organization Name
SOUTHEASTERN NEPHROLOGY ASSOC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1302 MEDICAL CENTER DR WILMINGTON, NC 28401
Location Phone
(910) 763-4401
Mailing Address
PO BOX 110566 DURHAM, NC 27709
Mailing Phone
(919) 620-4855
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2011
Last Update Date
07-11-2022
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An internist like Southeastern Nephrology Assoc 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
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 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTOPHER THOMAS FREDERICK

Authorized Official Title
CFO
Authorized Official Phone
(919) 613-7762

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457641946
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24107124298
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 2 + 4 + 2 + 9 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1457641946 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730132218DR. DOUGLAS ANDREW HAMERSKI M.D.
Individual
Internal Medicine (Nephrology)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1851346035DR. DERRICK LLEWELLYN ROBINSON M.D.
Individual
Internal Medicine (Nephrology)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1346295417DR. JONATHAN BRADLEY WOODS M.D.
Individual
Internal Medicine (Nephrology)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1003861147DR. JAMES CARDEN MCCABE M.D.
Individual
Internal Medicine (Nephrology)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1457306581DR. ROBERT ALEXANDER MOORE III M.D.
Individual
Internal Medicine (Nephrology)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1629024898DR. JOHN MURDOCH HERION M.D.
Individual
Internal Medicine (Nephrology)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1134157654MRS. PATTI HOOKS LEE IV ANP
Individual
Nurse Practitioner (Adult Health)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1922029578MR. MICHAEL A. ENGLAND PA-C
Individual
Physician Assistant (Medical)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1538375597DR. ERIC PIERSON MD
Individual
Internal Medicine (Nephrology)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1972544492DR. BRIAN DONNER D.O.
Individual
Internal Medicine (Nephrology)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1215217310 HEATHER M BOYKIN N.P.
Individual
Nurse Practitioner1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1306937479MRS. STEPHANIE E. D. MALONE FNP-BC
Individual
Nurse Practitioner (Family)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1750692588 ELIZABETH GOLL ANP-C
Individual
Nurse Practitioner (Adult Health)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1154530087 ERIC ALAN KIRK M.D.
Individual
Internal Medicine (Nephrology)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1104878347SOUTHEASTERN NEPHROLOGY ASSOCIATES, PLLC
Organization
Internal Medicine (Nephrology)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1154921641 LINDSEY CORBETT DNP, FNP
Individual
Nurse Practitioner (Family)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1760072474 CHRISTOPHER MOODY FNP-C
Individual
Nurse Practitioner (Family)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1144976606 MARIA ALEXOUDIS
Individual
Nurse Practitioner1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1356179329 CASEY WOODSON AGACNP-BC
Individual
Nurse Practitioner1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800
1710032255 DOUGLAS R LINFERT M.D.
Individual
Internal Medicine (Nephrology)1302 MEDICAL CENTER DR
WILMINGTON, NC 28401
(910) 343-9800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457641946, enumerated in the NPI registry as an "organization" on April 18, 2011

The provider is located at 1302 Medical Center Dr Wilmington, Nc 28401 and the phone number is (910) 763-4401

This medical organization specializes in Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology

This NPI record was last updated on April 18, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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