PHYSICIANS DIALYSIS ACQUISITIONS INC (NPI# 1528020021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528020021 |
Entity Type | Organization |
Organization Name | PHYSICIANS DIALYSIS ACQUISITIONS INC |
Other Organization Name | PDI HIGHLAND PARK |
Practice Address |
64 Victor St Highland Park MI 48203-3128 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 3138527700 |
Practice Fax Number | 3138527704 |
Mailing Telephone | 6153204514 |
Mailing Fax Number | 8665949961 |
Enumeration Date | 2006-04-03 |
Last Update Date | 2019-06-19 |
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 |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | CLIA WAIVER | 23D0951666 | 01 |
MI | 1528020021 | 05 |
Other Name | Type Code |
---|---|
PDI Highland Park | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346374436 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 19 Glennie St, Ste A, Worcester, MA 01605-3918 | 2007-03-14 |
1073575882 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 344 Budfield St, Johnstown, PA 15904-3214 | 2006-04-05 |
1568424455 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 1230 Ekhart St Ne, Grand Rapids, MI 49503-1372 | 2006-04-05 |
1699736116 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 16964 Robbins Rd, Suite 203, Grand Haven, MI 49417-2796 | 2006-04-01 |
1508827023 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 801 Cherry St Se, Grand Rapids, MI 49506-1440 | 2006-04-01 |
1972564490 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 11707 Whittier Ave, Detroit, MI 48224-1537 | 2006-04-01 |
1053387738 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 30 Waterchase Dr, Rocky Hill, CT 06067-2110 | 2006-02-23 |
1386606184 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 3905 Ford Rd, Philadelphia, PA 19131-2824 | 2006-04-05 |
1396707113 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 834 Walnut St, Philadelphia, PA 19107-5109 | 2006-04-05 |
1417919200 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 429 Manor Dr, Ste 650, Ebensburg, PA 15931-4917 | 2006-04-05 |
Street Address |
64 VICTOR ST |
City | HIGHLAND PARK |
State | MI |
Zip Code | 48203-3128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
Find all providers in zip 48203 |
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 |
---|---|---|---|---|
1821533415 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 1657 Old Skokie Rd, Highland Park, IL 60035-2349 | 2017-01-05 |
1578964565 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 1657 Old Skokie Valley Rd, Highland Park, IL 60035-2349 | 2014-09-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497961 | Saint Marina Home Dialysis LLC | Clinic/Center | 26711 Northwestern Hwy Ste 125, Southfield, MI 48033-2170 | 2020-11-05 |
1144820226 | Heritage Home Dialysis LLC | Clinic/Center | 1580 N Leroy St Ste 6, Fenton, MI 48430-2801 | 2020-10-28 |
1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
1457973257 | Fms Owosso, LLC | Clinic/Center | 918 Corunna Ave, Owosso, MI 48867-3768 | 2020-05-14 |
1023650926 | Falmont Dialysis LLC | Clinic/Center | 37290 5 Mile Rd, Livonia, MI 48154-1848 | 2019-10-11 |
1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
1487123600 | Concerto Michigan LLC | Clinic/Center | 14700 Farmington Rd Ste 108, Livonia, MI 48154-5462 | 2018-11-16 |
1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
1851886592 | Fms Rochester Hills, LLC | Clinic/Center | 26400 W 12 Mile Rd Ste 112, Southfield, MI 48034-1785 | 2018-06-26 |
1801399753 | Kasaskia Dialysis LLC | Clinic/Center | 18001 E 10 Mile Rd Ste B, Roseville, MI 48066-3803 | 2018-03-16 |
Find all providers with the same taxonomy |
City | HIGHLAND PARK |
Zip Code | 48203 |
Please comment or provide details below to improve the information on PHYSICIANS DIALYSIS ACQUISITIONS INC.
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.