MID - AMERICA DIALYSIS, LLC (NPI# 1194834903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194834903 |
| Entity Type | Organization |
| Organization Name | MID - AMERICA DIALYSIS, LLC |
| Other Organization Name | MID AMERICA DIALYSIS |
| Practice Address |
2355 S Hamilton Rd Columbus OH 43232-4305 |
| Mailing Address |
7650 Se 27th St Suite 200 Mercer Island WA 98040-3060 |
| Practice Telephone | 6143671679 |
| Practice Fax Number | 6145523228 |
| Mailing Telephone | 2062365001 |
| Mailing Fax Number | 2062365002 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2019-06-17 |
| Authorized Official Name | RYAN B PARDO (VICE PRESIDENT) |
| Authorized Official Telephone | 2062365001 |
| 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 |
362649 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2347017 | 05 |
| Other Name | Type Code |
|---|---|
| MID AMERICA DIALYSIS | Doing Business As Name - Organization |
| Street Address |
2355 S HAMILTON RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43232-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093763823 | Teferi G Mengesha | Internal Medicine | 2355 S Hamilton Rd, Columbus, OH 43232-4305 | 2006-05-04 |
| 1508009101 | Hypertension and Kidney Specialists, LLC | Internal Medicine | 2355 S Hamilton Rd, Columbus, OH 43232-4305 | 2009-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739119 | Evina Emvoutou | Community Health Worker | 2166 Riverdale Square, Columbus, OH 43232 | 2020-01-14 |
| 1538712484 | Dominic Nchamukong | Nurse Practitioner | 4646 Hilton Corporate Dr, Columbus, OH 43232 | 2019-07-19 |
| 1871058602 | Angelique Jackson | Registered Nurse | 2376 Carlford Street, Columbus, OH 43232 | 2019-02-06 |
| 1033693569 | Mount Carmel Behavioral Healthcare, LLC | Psychiatric Hospital | 4646 Hilton Corporate Drive, Columbus, OH 43232 | 2018-09-20 |
| 1720500523 | Annie D Jordan | Home Health Aide | 5049 Gunston Dr, Columbus, OH 43232 | 2017-07-13 |
| 1750755286 | Stephanie Baker | Community Health Worker | 6127 Roselawn Ave, Columbus, OH 43232 | 2015-11-20 |
| 1982076527 | Nicole Allen | Licensed Practical Nurse | 2067 Prestwick Drive, Columbus, OH 43232 | 2015-10-22 |
| 1508255357 | Andrea Tarr | Licensed Practical Nurse | 2492 Daily Rd, Columbus, OH 43232 | 2015-01-16 |
| 1205240694 | Alemsege Berhe | Licensed Practical Nurse | 1841 Riverdale Rd, Cplumbus, OH 43232 | 2014-06-13 |
| 1386987048 | Mikeyla Burrs | Licensed Practical Nurse | 1622 Noe Bixby Rd Apt C, Columbus, OH 43232 | 2013-04-01 |
| Find all providers in zip 43232 | ||||
| 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 |
|---|---|---|---|---|
| 1326569922 | Fresenius Kidney Care Columbus Home, LLC | Clinic/Center | 711 Talbotton Rd, Columbus, GA 31904-8908 | 2017-07-05 |
| 1265963417 | Dialysis Clinic Inc | Clinic/Center | 5990 Warm Springs Rd, Columbus, GA 31909-4310 | 2017-03-21 |
| 1760926257 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 758 Communications Parkway, Columbus, OH 43214-1948 | 2016-12-19 |
| 1366809857 | Kidney Center of Whitehall LLC | Clinic/Center | 6038 E Main St, Columbus, OH 43213-3357 | 2016-01-28 |
| 1912371212 | Columbus Med Partners, LLC | Clinic/Center | 4500 W. Broad Street, Columbus, OH 43228-1623 | 2015-11-24 |
| 1861894768 | Rcg Mississippi, Inc. | Clinic/Center | 3499 Bluecutt Rd, Columbus, MS 39705-1346 | 2014-09-23 |
| 1437586153 | Rcg Mississippi, Inc. | Clinic/Center | 139 N Brookmoore Dr, Columbus, MS 39705-2024 | 2013-09-27 |
| 1689008740 | Heavener Dialysis LLC | Clinic/Center | 2401 Shelby St, Columbus, GA 31903-0000 | 2013-08-26 |
| 1710226915 | Goldendale Dialysis LLC | Clinic/Center | 1200 Brookstone Centre Pkwy Ste 111, Columbus, GA 31904-2934 | 2013-02-07 |
| 1073787248 | Columbus Rna Davita LLC | Clinic/Center | 226 Graceland Blvd, Ste 3-09a, Columbus, OH 43214-1532 | 2008-04-17 |
| Find all providers in COLUMBUS | ||||
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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.