PHYSICIANS CHOICE DIALYSIS OF MONTGOMERY LLC (NPI# 1215451612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215451612 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS CHOICE DIALYSIS OF MONTGOMERY LLC |
| Practice Address |
2201 E South Blvd Montgomery AL 36116-2404 |
| Mailing Address |
211 Commerce Ct Ste 104 Pottstown PA 19464-3483 |
| Practice Telephone | 6104958900 |
| Practice Fax Number | 6104958560 |
| Mailing Telephone | 6104958900 |
| Mailing Fax Number | 6104958560 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2018-03-14 |
| Authorized Official Name | THOMAS KARL (MANAGER) |
| Authorized Official Telephone | 6104958900 |
| 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 |
| Street Address |
2201 E SOUTH BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36116-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
| 1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
| 1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
| 1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
| 1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
| Find all providers in zip 36116 | ||||
| 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 |
|---|---|---|---|---|
| 1689176711 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1510 Eastern Blvd, Montgomery, AL 36117-1629 | 2018-03-05 |
| 1902313430 | Sapphire Community Dialysis LLC | Clinic/Center | 8149 Decker Ln, Montgomery, AL 36117-4255 | 2018-01-05 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| 1992047450 | Farragut Dialysis, LLC | Clinic/Center | 2958 Dorchester Dr, Montgomery, AL 36116-3193 | 2013-03-22 |
| 1548527252 | Dialysis Clinic Inc. | Clinic/Center | 29 Mitylene Park Lane, Montgomery, AL 36117-7303 | 2012-04-19 |
| 1447531686 | Bio-medical Applications of Alabama Inc. | Clinic/Center | 100 Mitylene Park Ln, Montgomery, AL 36117-3758 | 2011-09-01 |
| 1710200274 | Dialysis Clinic Inc. | Clinic/Center | 1912 Cherry St., Montgomery, AL 36107-2607 | 2010-03-11 |
| 1780796532 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 255 S Jackson St, Montgomery, AL 36104-4405 | 2006-08-31 |
| 1457463168 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 3625 Mcgehee Place Dr N, Montgomery, AL 36111-3371 | 2006-08-31 |
| 1497788871 | Dialysis Clinic Inc. | Clinic/Center | 544 S Mcdonough St, Montgomery, AL 36104-4614 | 2006-07-08 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36116 |
Please comment or provide details below to improve the information on PHYSICIANS CHOICE DIALYSIS OF MONTGOMERY LLC.
| 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.