DVA RENAL HEALTHCARE INC (NPI# 1811951627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811951627 |
| Entity Type | Organization |
| Organization Name | DVA RENAL HEALTHCARE INC |
| Other Organization Name | CEDARBURG DIALYSIS |
| Practice Address |
N54w6135 Mill St Cedarburg WI 53012-2021 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 2623768011 |
| Practice Fax Number | 2623769369 |
| Mailing Telephone | 6153416264 |
| Mailing Fax Number | 8002972925 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-08-05 |
| 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 |
|---|---|---|---|
| WI | 1811951627 | 05 |
| Other Name | Type Code |
|---|---|
| Cedarburg Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629415609 | Dva Renal Healthcare Inc | Clinic/Center | 300 B 22nd St South, Birmingham, AL 35233-2209 | 2013-05-30 |
| 1164728408 | Dva Renal Healthcare Inc | Clinic/Center | 415 W Nc Hwy 54, Durham, NC 27713-7516 | 2011-02-03 |
| 1295983245 | Dva Renal Healthcare Inc | Clinic/Center | 1919 Charlotte Ave Ste 200, Nashville, TN 37203-2245 | 2008-09-03 |
| 1811171440 | Dva Renal Healthcare Inc | Clinic/Center | 300 W Broadway Ste 150, Council Bluffs, IA 51503-9077 | 2007-12-18 |
| 1881623585 | Dva Renal Healthcare Inc | Clinic/Center | 271 King St, Perth Amboy, NJ 08861-4488 | 2006-07-03 |
| 1164451852 | Dva Renal Healthcare Inc | Clinic/Center | 262 Texas Rd, Ste 101, Old Bridge, NJ 08857-4008 | 2006-07-03 |
| 1912936618 | Dva Renal Healthcare Inc | Clinic/Center | 1200 Randolph Rd, Muhlenburg Campus, Plainfield, NJ 07060-3361 | 2006-07-03 |
| 1346270782 | Dva Renal Healthcare Inc | Clinic/Center | 230 Van Sciver Pkwy, Willingboro, NJ 08046-1131 | 2006-07-03 |
| 1548299381 | Dva Renal Healthcare Inc | Clinic/Center | 29 Meridian Rd, Edison, NJ 08820-2823 | 2006-07-02 |
| 1548299373 | Dva Renal Healthcare Inc | Clinic/Center | 14-20 Prospect St, East Orange, NJ 07017-2238 | 2006-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DVA Renal Healthcare Inc. | 2000 16th St, Jld/secgovfin, Denver, Colorado 80202-5117 |
| Street Address |
N54W6135 MILL ST |
| City | CEDARBURG |
| State | WI |
| Zip Code | 53012-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003885914 | M Thomas Chemotti | Ophthalmology | N54w6135 Mill St, Cedarburg, WI 53012-2021 | 2006-03-14 |
| 1205451762 | Stephanie Golon | Optometrist | N54w6135 Mill St, Cedarburg, WI 53012-2021 | 2020-06-10 |
| 1629494703 | North Shore Eye Health and Wellness, Sc | Optometrist | N54w6135 Mill St, Suite 700, Cedarburg, WI 53012-2021 | 2014-03-12 |
| 1710231659 | Susan Elaine Miazga | Pharmacist | N54w6135 Mill St, Ste 300, Cedarburg, WI 53012-2021 | 2012-10-30 |
| 1972881134 | Kyle D Ross | Optometrist | N54w6135 Mill St, Suite 700, Cedarburg, WI 53012-2021 | 2011-07-21 |
| 1508938606 | Blount Orthopaedic Associates, S.c. | Orthopaedic Surgery | N54w6135 Mill St, Suite 200, Cedarburg, WI 53012-2021 | 2006-11-14 |
| 1447345509 | Daniel C Garcia Dds LLC | Dentist | N54w6135 Mill St, Suite 900, Cedarburg, WI 53012-2021 | 2006-10-04 |
| 1730282880 | Cedarburg Prescription Center Inc | Pharmacy | N54w6135 Mill St, Ste 300, Cedarburg, WI 53012-2021 | 2006-09-06 |
| 1689789075 | John Richard Jankowski | Pharmacist | N54w6135 Mill St, Suite 300, Cedarburg, WI 53012-2021 | 2006-08-19 |
| 1053370809 | Salvador V. Del Rosario,m.d., S.c. | Internal Medicine | N54w6135 Mill St, Suite 600, Cedarburg, WI 53012-2021 | 2006-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639565351 | Angela Marie Phillips | Counselor | 8750 Western Rd, Cedarburg, WI 53012 | 2015-04-09 |
| 1922403641 | Nickolas Wimble | Hearing Instrument Specialist | W62n244 Washinton St, #104, Cedarburg, WI 53012 | 2014-10-23 |
| 1285902429 | Mary B Pistiner | Pharmacist | W62 N190 Washington Ave, Walgreens, Cedarburg, WI 53012 | 2011-12-02 |
| 1285931360 | Accuquest Hearing Centers | Clinic/Center | N54w65 Mill Street, Ste 800, Cedarburg, WI 53012 | 2011-02-25 |
| 1417283532 | Laura Egan Cutler | Speech-Language Pathologist | N87 W6334 Brookdale Dr, Cedarburg, WI 53012 | 2009-10-23 |
| 1790945053 | Diane M Kerkman | Licensed Practical Nurse | W63 N14264 Washington Ave #13, Cedarburg, WI 53012 | 2008-06-11 |
| 1346416856 | Robert H Schwengel | Dentist | W62n179 Washington Ave, Cedarburg, WI 53012 | 2008-05-05 |
| 1174710479 | Assisted Living Concepts Inc | Assisted Living Facility | W56 N225 Mckinley Blvd, Cedarburg, WI 53012 | 2007-10-01 |
| 1699968016 | Jay Timothy Brogelman | Occupational Therapy Assistant | N27 W5707 Lincoln Blvd., Cedar Springs Health and Rehabilitation Center, Cedarburg, WI 53012 | 2007-08-20 |
| 1053517722 | Bruce J Stevens | Dentist | N52 W6295 Mill Street, Cedarburg, WI 53012 | 2007-06-21 |
| Find all providers in zip 53012 | ||||
| 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 |
|---|---|---|---|---|
| 1497033229 | Blake Dialysis LLC | Clinic/Center | N54 W6135 Mill St, Ste 500, Cedarburg, WI 53012-2021 | 2011-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171599 | Dubuque Internal Medicine, PC | Clinic/Center | 190 N Orange St, Richland Center, WI 53581-2163 | 2020-10-13 |
| 1316570989 | Fresenius Medical Care Midwest Dialysis, LLC | Clinic/Center | 5125 W Morgan Ave, Greenfield, WI 53220-1540 | 2020-02-21 |
| 1992352082 | Fresenius Kidney Care Madison, LLC | Clinic/Center | 4600 American Pkwy Ste 102, Madison, WI 53718-8334 | 2019-08-22 |
| 1770040859 | Fresenius Medical Care Oshkosh, LLC | Clinic/Center | 2700 W 9th Ave Ste 101a, Oshkosh, WI 54904-7201 | 2019-02-26 |
| 1972008704 | Midwest Legacy Capital LLC | Clinic/Center | W4233 State Rd 54, Black Creek, WI 54106-8633 | 2018-03-26 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1992212286 | Total Renal Care Inc | Clinic/Center | 733 E Capitol Dr, Milwaukee, WI 53212 | 2018-01-08 |
| 1023527058 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2831 Okeeffe Ave, Sun Prairie, WI 53590-7057 | 2017-09-21 |
| 1093234569 | Fresenius Medical Care Milwaukee, LLC | Clinic/Center | 2615 W Silver Spring Dr, Milwaukee, WI 53209-4219 | 2017-09-15 |
| 1770010928 | Total Renal Care Inc | Clinic/Center | 9127 N 76th St, Milwaukee, WI 53223-1905 | 2017-05-18 |
| 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.