Provider Demographics
NPI:1316066251
Name:NEPHROLOGY & HYPERTENSION SPECIALISTS LLC
Entity type:Organization
Organization Name:NEPHROLOGY & HYPERTENSION SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:SOBEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:614-797-4500
Mailing Address - Street 1:501 W SCHROCK RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081
Mailing Address - Country:US
Mailing Address - Phone:614-797-4500
Mailing Address - Fax:614-797-4505
Practice Address - Street 1:501 W SCHROCK RD
Practice Address - Street 2:SUITE 103
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081
Practice Address - Country:US
Practice Address - Phone:614-797-4500
Practice Address - Fax:614-797-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34005598S207RN0300X
OH35082106S207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2344645Medicaid
OH2389973Medicaid
OH2389973Medicaid
OHSU4105404Medicare ID - Type Unspecified
OH2344645Medicaid