Provider Demographics
NPI:1366426801
Name:NEPHROLOGY ASSOCIATES INC
Entity type:Organization
Organization Name:NEPHROLOGY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:THURSBY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-438-5950
Mailing Address - Street 1:318 WATERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914
Mailing Address - Country:US
Mailing Address - Phone:401-438-5950
Mailing Address - Fax:401-435-2561
Practice Address - Street 1:318 WATERMAN AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-3525
Practice Address - Country:US
Practice Address - Phone:401-438-5950
Practice Address - Fax:401-435-2561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110069682BMedicaid
RI0025539Medicaid
RI110069682AMedicaid
MAM13329OtherBLUE CROSS
MAM15273OtherBLUE CROSS
1366426801OtherNPI
MA9736352Medicaid
RI255OtherBLUE CROSS
MA9765972Medicaid
MAM13329OtherBLUE CROSS
MA9736352Medicaid
MA110069682BMedicaid