ISD RENAL INC (NPI# 1730695024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730695024 |
| Entity Type | Organization |
| Organization Name | ISD RENAL INC |
| Other Organization Name | WHITING DIALYSIS |
| Practice Address |
816 119th St Whiting IN 46394-1401 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 2194730712 |
| Practice Fax Number | 2194730931 |
| Mailing Telephone | 6153204514 |
| Mailing Fax Number | 8665949961 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | JOHN D 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 |
|---|---|---|---|
| IN | 300023252 | 05 |
| Other Name | Type Code |
|---|---|
| Whiting 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 |
816 119TH ST |
| City | WHITING |
| State | IN |
| Zip Code | 46394-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417109612 | Connie J Eliou | Counselor | 2027 Davis Avenue, Whitning, IN 46394 | 2008-10-21 |
| 1114101334 | Levin Eye Care Center, P.C. | Optometrist | 1334 119th St., Whiting, IN 46394 | 2007-12-24 |
| 1063784296 | Olga Grbich | Pharmacist | 1939 Indianapolis Blvd, Pharmacy Dept., Whiting, IN 46394 | 2012-02-03 |
| 1942256128 | Hendricks County Hospital | Skilled Nursing Facility | 1000 114th St, Whiting, IN 46394-1048 | 2006-05-26 |
| 1578760971 | Sylvia Mary Mckinley | Physical Therapy Assistant | 1000 114th St, Whiting, IN 46394-1048 | 2007-06-28 |
| 1538370580 | Jeannine Marie Dabertin | Occupational Therapist | 1000 114th St, Whiting, IN 46394-1048 | 2007-05-24 |
| 1174731582 | Jane Lucille B. Edquila | Occupational Therapist | 1000 114th St, Whiting, IN 46394-1048 | 2007-05-18 |
| 1831307263 | Jessie Goode White | Speech-Language Pathologist | 1000 114th St, Whiting, IN 46394-1048 | 2007-05-18 |
| 1518425339 | Miriam N Rivera | Physical Therapy Assistant | 1546 Roberts Ave, Whiting, IN 46394-1122 | 2019-03-11 |
| 1104892579 | Robert L. Hoffman | Optometrist | 1703 Calumet Ave, Suite B, Whiting, IN 46394-1414 | 2006-02-27 |
| Find all providers in zip 46394 | ||||
| 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 |
|---|---|---|---|---|
| 1295839074 | Whiting Dialysis Services LLC | Clinic/Center | 430 Pinewald Keswick Road, Whiting, NJ 08759 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942858436 | Fresenius Medical Care Kyana, LLC | Clinic/Center | 604 Mount Tabor Rd, New Albany, IN 47150-2211 | 2019-08-28 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1114583697 | Dialysis Care Center Merrillville LLC | Clinic/Center | 349 W 80th Pl, Merrillville, IN 46410-5433 | 2019-05-10 |
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1326601808 | The Dialysis Center of Hammond-whiting LLC | Clinic/Center | 1005 5th Avenue, Hammond, IN 46320-1004 | 2019-04-19 |
| 1770049017 | Dialyze Direct In LLC | Clinic/Center | 13295 Illinois St Ste 210, Carmel, IN 46032-3021 | 2019-02-12 |
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1831685882 | Total Renal Care Inc | Clinic/Center | 2 Executive Dr Ste B, Lafayette, IN 47905-4878 | 2018-07-02 |
| 1609378165 | The Dialysis Center of Gary LLC | Clinic/Center | 1705 West 25th Avenue, Suite 101, Gary, IN 46404-3544 | 2018-03-01 |
| Find all providers with the same taxonomy | ||||
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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.