DSI RENAL INC (NPI# 1033164066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033164066 |
| Entity Type | Organization |
| Organization Name | DSI RENAL INC |
| Other Organization Name | NRI SOUTHWEST MESA |
| Practice Address |
2620 W Broadway Mesa AZ 85202-1071 |
| Mailing Address |
511 Union St Suite 1800 Nashville TN 37219-1733 |
| Practice Telephone | 4808945411 |
| Practice Fax Number | 4808942607 |
| Mailing Telephone | 6154670134 |
| Mailing Fax Number | 6152342422 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | MRS. GRETCHEN K BARR (VP OF REIMBURSEMENT) |
| Authorized Official Telephone | 6154670134 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NRI Southwest Mesa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164441515 | Dsi Renal Inc | Clinic/Center | 7929 S Ciaro Avenue, Scottsdale, IL 60652 | 2006-07-18 |
| 1801837372 | Dsi Renal Inc | Clinic/Center | 100 Ne Missouri Road, Lees Summit, MO 64086 | 2006-06-08 |
| 1598711012 | Dsi Renal Inc | Clinic/Center | 125 Airport Pkwy, Suite 140, Greenwood, IN 46143-1441 | 2006-05-26 |
| 1427004001 | Dsi Renal Inc | Clinic/Center | 2333 Renaissance Dr, Las Vegas, NV 89119-6191 | 2006-05-26 |
| 1457307167 | Dsi Renal Inc | Clinic/Center | 125 Whitmire Rd, Easley, SC 29640-1426 | 2006-05-25 |
| 1760438329 | Dsi Renal Inc | Clinic/Center | 40 Hemingway Dr, East Providence, RI 02915-2224 | 2006-05-25 |
| 1003862038 | Dsi Renal Inc | Clinic/Center | 406 N Acadia Rd, Thibodaux, LA 70301-4856 | 2006-05-25 |
| 1841245875 | Dsi Renal Inc | Clinic/Center | 8046 N 19th Ave, Suite 21, Phoenix, AZ 85021-5101 | 2006-05-25 |
| 1073569687 | Dsi Renal Inc | Clinic/Center | 110 Chalmers Road, Suite C, Greenville, SC 29605-1351 | 2006-05-25 |
| 1700832490 | Dsi Renal Inc | Clinic/Center | 6488 Corporate Dr, Indianapolis, IN 46278-2913 | 2006-05-25 |
| Street Address |
2620 W BROADWAY |
| City | MESA |
| State | AZ |
| Zip Code | 85202-1071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346436532 | Southwest Kidney Dialysis, LLC | Clinic/Center | 10238 E. Hampton Avenue, Suite 108, Mesa, AZ 85209 | 2007-09-20 |
| 1124130927 | Renal Care Group Arizona, LLC | Clinic/Center | 135 S Power Rd, Suite 103, Mesa, AZ 85206-5245 | 2006-08-31 |
| 1841302742 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 1211 N Country Club Dr Ste 4, Mesa, AZ 85201-2545 | 2006-08-31 |
| 1639118714 | Renal Care Group Arizona, LLC | Clinic/Center | 11540 East University Dr, Suite 109, Mesa, AZ 85207 | 2006-06-05 |
| 1285689604 | Dsi Renal Inc | Clinic/Center | 1337 S Gilbert Rd, Suite 109, Mesa, AZ 85204-6073 | 2006-05-24 |
| 1821344581 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 301 S Power Rd, Ste 104, Mesa, AZ 85206-5243 | 2012-07-31 |
| 1528341070 | Dialysis Newco Inc | Clinic/Center | 1337 S Gilbert Rd, Suite 109, Mesa, AZ 85204-6073 | 2011-09-21 |
| 1093098550 | Dialysis Newco Inc | Clinic/Center | 1457 W Southern Ave, Suite D-19, Mesa, AZ 85202-4813 | 2011-09-21 |
| 1700059227 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 1134 E University Dr, Ste 101, Mesa, AZ 85203-8048 | 2008-04-04 |
| 1265615934 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 10238 E Hampton Ave, Ste 108, Mesa, AZ 85209-3317 | 2007-12-17 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.