ISD KANSAS CITY LLC (NPI# 1518142710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518142710 |
| Entity Type | Organization |
| Organization Name | ISD KANSAS CITY LLC |
| Other Organization Name | WESTPORT RENAL CENTER |
| Practice Address |
3947 Broadway St Kansas City MO 64111-2516 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8165311181 |
| Practice Fax Number | 8165311186 |
| Mailing Telephone | 6153416264 |
| Mailing Fax Number | 8002972925 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2020-11-06 |
| 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 |
|---|---|---|---|
| MO | 1518142710 | 05 |
| Other Name | Type Code |
|---|---|
| Westport Renal Center | Doing Business As Name - Organization |
| Street Address |
3947 BROADWAY ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| 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 |
|---|---|---|---|---|
| 1033602990 | Lantell Dialysis LLC | Clinic/Center | 8608 E 63rd St, Kansas City, MO 64133-4725 | 2018-06-14 |
| 1518407493 | Dialysis Clinic Inc | Clinic/Center | 2715 Swope Pkwy, Kansas City, MO 64130 | 2017-02-27 |
| 1306381942 | Caddoan Dialysis LLC | Clinic/Center | 2852 W 47th Ave, Kansas City, KS 66103-3243 | 2017-01-05 |
| 1750833489 | Home Dialysis Services Kc Midtown LLC | Clinic/Center | 1728 Holmes St, Kansas City, MO 64108-1539 | 2016-10-28 |
| 1174900500 | Total Renal Care Inc | Clinic/Center | 8260 N Booth Ave, Kansas City, MO 64158-7201 | 2015-05-06 |
| 1285990168 | Lone Dialysis LLC | Clinic/Center | 4407 E 50th Ter, Kansas City, MO 64130-2855 | 2012-04-05 |
| 1679734263 | Total Renal Care Inc | Clinic/Center | 5001 State Ave, Kansas City, KS 66102 | 2008-06-17 |
| 1376740555 | Nra Ukmc Kansas LLC | Clinic/Center | 6401 Parallel Parkway, Kansas City, KS 66102-1042 | 2007-06-29 |
| 1396837803 | Wyandotte Central Dialysis LLC | Clinic/Center | 3737 State Ave, Kansas City, KS 66102-3830 | 2006-09-29 |
| 1932211737 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 2502 Summit St, Kansas City, MO 64108-2427 | 2006-08-31 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on ISD KANSAS CITY 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.