ISD RENAL INC (NPI# 1639125172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639125172 |
| Entity Type | Organization |
| Organization Name | ISD RENAL INC |
| Other Organization Name | COASTAL DIALYSIS |
| Practice Address |
4300 S Padre Island Dr Ste 2-2 Corpus Christi TX 78411-4433 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 3618559449 |
| Practice Fax Number | 3618559398 |
| Mailing Telephone | 6153416764 |
| Mailing Fax Number | 8337816999 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | MR. 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 |
|---|---|---|---|
| TX | 188158302 | 05 |
| Other Name | Type Code |
|---|---|
| Coastal Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1538793773 | Isd Renal Inc | Clinic/Center | 2317 Memorial Pkwy Sw Ste 105, Huntsville, AL 35801-5623 | 2020-02-26 |
| 1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
| 1245891670 | Isd Renal Inc | Clinic/Center | 100 W Forest Ave Ste G, Englewood, NJ 07631-4033 | 2019-06-26 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1003390469 | Isd Renal Inc | Clinic/Center | 1843 Foreman Dr Ste 201, Cookeville, TN 38501-5933 | 2018-09-21 |
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1619459682 | Isd Renal Inc | Clinic/Center | 620 Mall Blvd Ste E, Dyersburg, TN 38024-1649 | 2018-09-05 |
| Street Address |
4300 S PADRE ISLAND DR STE 2-2 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78411-4433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922367333 | Envoy Hospice, LLC | Hospice Care, Community Based | 4300 S Padre Island Dr, Suite 1-1, Corpus Christi, TX 78411-4433 | 2012-05-07 |
| 1225194517 | Richard Day | Dentist | 4300 S Padre Island Dr, Unit 4-1, Corpus Christi, TX 78411-4433 | 2006-12-29 |
| 1003858424 | Brian M Solecki | Physical Therapist | 4300 S Padre Island Dr, Suite 1-1, Corpus Christi, TX 78411-4433 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
| 1669952313 | Maranda Deleon | Physical Therapy Assistant | 4406 Stonegate Way, Corpus Christi, TX 78411 | 2018-08-21 |
| 1730675257 | Cns Diagnostics Incorporated | Specialist/Technologist, Other | 5262 South Staples, Ste. 211, Corpus Christi, TX 78411 | 2018-07-09 |
| 1750828257 | Kerr Technical Services, LLC | Technician | 5262 S. Staples St., Suite 220, Corpus Christi, TX 78411 | 2017-01-23 |
| 1700337862 | Rebekah Welty | Audiologist | 3533 Alameda St, Corpus Christi, TX 78411 | 2016-10-24 |
| 1518330059 | Lilo Burda | Counselor | 321 Texan Trl Ste 220, Corpus Christi, TX 78411 | 2015-11-05 |
| 1730557182 | Amy Luu Q.a. Mai | Optometrist | 5488 S. Padre Island Drive, Suite 2042, Corpus Christi, TX 78411 | 2015-09-02 |
| 1487030417 | Luis Fuentes IIi | General Practice | 4818 Holly Rd Ste A, Corpus Christi, TX 78411 | 2015-07-31 |
| 1427430859 | Saguaro Anesthesia Associates, P.a. | Specialist | 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 | 2015-06-22 |
| 1306224605 | Bonnie Lee Braglia Lpc-s,lmft,ccdvc | Community/Behavioral Health | 4659 Everhart Rd. Suite 109, Corpus Christi, TX 78411 | 2015-05-07 |
| Find all providers in zip 78411 | ||||
| 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 |
|---|---|---|---|---|
| 1871055368 | Fresenius Medical Care King's Crossing, LLC | Clinic/Center | 5834 Yorktown Blvd, Corpus Christi, TX 78414-5301 | 2019-04-03 |
| 1962964452 | Fresenius Medical Care Corpus Christi Home, LLC | Clinic/Center | 5842 Yorktown Blvd, Corpus Christi, TX 78414 | 2019-04-03 |
| 1003383902 | Fresenius Medical Care Corpus Christi Bayside, LLC | Clinic/Center | 1121 3rd St, Corpus Christi, TX 78404-2311 | 2018-10-29 |
| 1003346792 | Gilwards Dialysis LLC | Clinic/Center | 6018 Parkway Dr, Corpus Christi, TX 78414-2488 | 2017-06-14 |
| 1316221971 | Dialysis Newco Inc | Clinic/Center | 7502 South Padre Island Drive, Corpus Christi, TX 78412-4308 | 2011-09-30 |
| 1093998940 | Isd Corpus Christi LLC | Clinic/Center | 1533 Holly Rd, Corpus Christi, TX 78417-2010 | 2007-12-14 |
| 1770782393 | Bio-medical Applications of Texas, Inc. | Clinic/Center | 6017 Parkway Dr, Corpus Christi, TX 78414-2456 | 2007-07-13 |
| 1609966100 | Dialysis Management Corporation | Clinic/Center | 1647 S Alameda St, Corpus Christi, TX 78404-3110 | 2006-10-13 |
| 1255443131 | Dialysis Management Corporation | Clinic/Center | 4112 S Staples St, Suite Ab, Corpus Christi, TX 78411-2109 | 2006-08-31 |
| 1174635056 | Renal Care Group Texas, Inc. | Clinic/Center | 4147 Five Points Rd Ste G, Corpus Christi, TX 78410-4541 | 2006-08-31 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78411 |
Please comment or provide details below to improve the information on ISD RENAL 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.