WILLISTON DIALYSIS, LLC (NPI# 1831544972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831544972 |
| Entity Type | Organization |
| Organization Name | WILLISTON DIALYSIS, LLC |
| Other Organization Name | OCEANA DIALYSIS |
| Practice Address |
1375 Oceana Blvd Suite 114 Virginia Beach VA 23454-5579 |
| Mailing Address |
5200 Virginia Way L & C Department Brentwood TN 37027-7569 |
| Practice Telephone | 7579616239 |
| Practice Fax Number | 7579616665 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2020-09-10 |
| 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 |
|---|---|---|---|
| VA | 1831544972 | 05 |
| Other Name | Type Code |
|---|---|
| Oceana Dialysis | Doing Business As Name - Organization |
| Street Address |
1375 OCEANA BLVD SUITE 114 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-5579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| 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 |
|---|---|---|---|---|
| 1679012991 | Cadiz Dialysis LLC | Clinic/Center | 1920 Centerville Tpke Ste 122, Virginia Beach, VA 23464-6859 | 2017-02-20 |
| 1790111789 | Landsford Dialysis LLC | Clinic/Center | 3973 Holland Rd, Virginia Beach, VA 23452-2804 | 2013-09-23 |
| 1467416396 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 740 Independence Cir, Virginia Beach, VA 23455-6438 | 2006-04-17 |
| 1679948061 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 2476 Nimmo Pkwy, Ste 109-112, Virginia Beach, VA 23465-9108 | 2015-12-10 |
| 1780054478 | Total Renal Care, Inc | Clinic/Center | 3973 Holland Rd, Virginia Beach, VA 23452-2804 | 2015-10-07 |
| 1831502772 | Fresenius Medical Care Virginia Beach Home, LLC | Clinic/Center | 933 First Colonial Rd, Suite 105, Virginia Beach, VA 23454-3172 | 2014-06-09 |
| 1992121099 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 933 First Colonial Rd, Suite 112, Virginia Beach, VA 23454-3172 | 2014-03-13 |
| 1609110758 | Stines Dialysis LLC | Clinic/Center | 230 Clearfield Ave, Ste 106, Virginia Beach, VA 23462-1832 | 2012-11-15 |
| 1710066428 | Davita Tidewater - Virginia Beach, LLC | Clinic/Center | 1800 Camelot Dr, Ste 100, Virginia Beach, VA 23454-2440 | 2006-11-03 |
| 1861596637 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 525 S Independence Blvd, Suite 150, Virginia Beach, VA 23452-1188 | 2006-09-12 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
Please comment or provide details below to improve the information on WILLISTON DIALYSIS, 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.