POWERTON DIALYSIS LLC (NPI# 1104248574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104248574 |
| Entity Type | Organization |
| Organization Name | POWERTON DIALYSIS LLC |
| Other Organization Name | WEST TOLEDO DIALYSIS |
| Practice Address |
2900 Carskaddon Ave Toledo OH 43606-1601 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 4195310755 |
| Practice Fax Number | 4195310957 |
| Mailing Telephone | 6152383051 |
| Mailing Fax Number | 8002468346 |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2019-06-21 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| 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 |
1090DC | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0140493 | 05 |
| Other Name | Type Code |
|---|---|
| West Toledo Dialysis | Doing Business As Name - Organization |
| Street Address |
2900 CARSKADDON AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
| 1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
| 1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
| 1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
| Find all providers in zip 43606 | ||||
| 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 |
|---|---|---|---|---|
| 1164947453 | Bio Medical Applications of Ohio Inc | Clinic/Center | 1313 Cherry St, Toledo, OH 43608-2907 | 2017-08-08 |
| 1013449784 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 3546 W. Sylvania Ave, Toledo, OH 43623 | 2017-03-31 |
| 1679906325 | Total Renal Care Inc | Clinic/Center | 3401 Glendale Ave Ste 110, Toledo, OH 43614-2490 | 2013-08-16 |
| 1598982506 | Renal Treatment Centers-illinois Inc | Clinic/Center | 4747 Suder Ave, Ste 107, Toledo, OH 43611-2869 | 2007-04-19 |
| 1013022870 | Nna of Toledo, Inc. | Clinic/Center | 3100 W Central Ave, Ste 100, Toledo, OH 43606-2914 | 2006-08-20 |
| 1477501690 | Renal Care Group Toledo, LLC | Clinic/Center | 2532 W Laskey Rd, Toledo, OH 43613-3205 | 2006-05-04 |
| 1689638843 | Dva Healthcare Renal Care Inc | Clinic/Center | 5201 Airport Hwy, Toledo, OH 43615-6800 | 2006-04-14 |
| 1770554917 | Dialysis Centers of Northwest Ohio, Ltd. | Clinic/Center | 5719 Jackman Rd, Toledo, OH 43613-2332 | 2006-01-27 |
| 1184695314 | Dialysis Centers of Northwest Ohio, Ltd. | Clinic/Center | 2249 N Reynolds Rd, Toledo, OH 43615-2835 | 2006-01-27 |
| 1851392898 | The Toledo Hospital | Clinic/Center | 2142 N. Cove Blvd., Toledo, OH 43606 | 2005-08-01 |
| Find all providers in TOLEDO | ||||
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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.