RENAL TREATMENT CENTERS SOUTHEAST LP (NPI# 1336117670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336117670 |
| Entity Type | Organization |
| Organization Name | RENAL TREATMENT CENTERS SOUTHEAST LP |
| Other Organization Name | WEST FLORIDA DIALYSIS |
| Practice Address |
8333 N Davis Hwy 1st Floor Attn Dialysis Room Pensacola FL 32514 |
| Mailing Address |
5200 Virginia Way Brentwood TN 37027-7569 |
| Practice Telephone | 8504748424 |
| Practice Fax Number | 8509692879 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100024400 | 05 |
| Other Name | Type Code |
|---|---|
| West Florida Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689176711 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1510 Eastern Blvd, Montgomery, AL 36117-1629 | 2018-03-05 |
| 1376075523 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2443 Monarch Dr, Laredo, TX 78045-6329 | 2017-03-28 |
| 1134667264 | Renal Treatment Centers Southeast Lp | Clinic/Center | 2860 Us Highway 83, Zapata, TX 78076 | 2017-02-09 |
| 1528517752 | Renal Treatment Centers Southeast Lp | Clinic/Center | 404 S Veterans Blvd, Ste D, Edinburg, TX 78539 | 2016-09-29 |
| 1902353543 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1006 E Interstate Highway 2, Donna, TX 78537-4153 | 2016-09-01 |
| 1285087189 | Renal Treatment Centers Southeast Lp | Clinic/Center | 6626 Antoine Dr, Houston, TX 77091-1206 | 2016-07-15 |
| 1992134340 | Renal Treatment Centers Southeast Lp | Clinic/Center | 5406 Highway 280, Suite D107, Birmingham, AL 35242-6592 | 2013-11-06 |
| 1538503008 | Renal Treatment Centers Southeast Lp | Clinic/Center | 7580 Fannin St Ste 200, Houston, TX 77054-1900 | 2013-04-26 |
| 1881938207 | Renal Treatment Centers Southeast Lp | Clinic/Center | 115 Wrights St Ste A, Hot Springs, AR 71913-6240 | 2012-11-26 |
| 1891039210 | Renal Treatment Centers Southeast Lp | Clinic/Center | 1114 W Washington St Nw, Camden, AR 71701-3827 | 2012-11-26 |
| Street Address |
8333 N DAVIS HWY 1ST FLOOR ATTN DIALYSIS ROOM |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394613 | Donald M Dewey | Orthopaedic Surgery | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2005-05-24 |
| 1114528312 | Lucas Braden Heitman | Physician Assistant | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2020-11-04 |
| 1093328056 | Alyssa Haley | Audiologist | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2020-08-28 |
| 1568074995 | Andrew Bean | Pharmacist | 8333 N Davis Hwy, Walgreens, Pensacola, FL 32514 | 2020-08-18 |
| 1942810072 | Martha Davault | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2020-08-04 |
| 1144855958 | Nicole Chase Adams | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2020-03-12 |
| 1093352619 | Danielle Tozzo | Physician Assistant | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2019-12-02 |
| 1104475235 | Aryn Del Valle | Physician Assistant | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2019-09-11 |
| 1649731415 | Vanessa Enriquez | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2019-03-26 |
| 1881165652 | Jessica Christine Byrd | Nurse Practitioner | 8333 N Davis Hwy, Pensacola, FL 32514-6049 | 2018-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| 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 |
|---|---|---|---|---|
| 1326566084 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5476 Mobile Hwy, Pensacola, FL 32526-2104 | 2017-09-01 |
| 1215287115 | Reef Dialysis LLC | Clinic/Center | 812 Creighton Rd, Pensacola, FL 32504-7028 | 2012-09-18 |
| 1639445463 | Total Renal Care Inc | Clinic/Center | 700 E Cervantes St, Ste A, Pensacola, FL 32501-3489 | 2012-03-27 |
| 1851415228 | West Pensacola Dialysis LLC | Clinic/Center | 598 N Fairfield Dr, Pensacola, FL 32506-4320 | 2007-03-19 |
| 1992817738 | Renal Care Group of The Southeast, Inc. | Clinic/Center | 1305 W Moreno St, Pensacola, FL 32501-2321 | 2006-08-31 |
| 1619089455 | Renal Care Group of The Southeast Inc | Clinic/Center | 1040 E Nine Mile Rd, Pensacola, FL 32514-1649 | 2006-08-31 |
| 1619089463 | Rcg Pensacola, LLC | Clinic/Center | 2940 N Blue Angel Pkwy, Pensacola, FL 32506-2925 | 2006-08-31 |
| 1326366329 | Total Renal Care Inc | Clinic/Center | 598 N Fairfield Dr, Ste 100, Pensacola, FL 32506-4320 | 2010-05-14 |
| 1356453195 | Renal Care Group of The Southeast Inc | Clinic/Center | 5401 Corporate Woods Dr, Suite 850, Pensacola, FL 32504-8984 | 2006-08-31 |
| 1265544001 | Renal Care Group of The Southeast Inc | Clinic/Center | 5151 N 9th Ave, Depaul Bldg. 3rd Fl., Pensacola, FL 32504-8721 | 2006-08-31 |
| Find all providers in PENSACOLA | ||||
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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.