LOURDES DIALYSIS LLC (NPI# 1881021517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881021517 |
| Entity Type | Organization |
| Organization Name | LOURDES DIALYSIS LLC |
| Other Organization Name | OVIEDO DIALYSIS |
| Practice Address |
7560 Red Bug Lake Rd Ste 1048 Oviedo FL 32765-6591 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 4073660211 |
| Practice Fax Number | 4073664269 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER, TREASURER) |
| 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 |
|---|---|---|---|
| FL | 011972000 | 05 |
| Other Name | Type Code |
|---|---|
| Oviedo Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831690924 | Lourdes Dialysis LLC | Clinic/Center | 8259 Clarcona Ocoee Rd, Orlando, FL 32818-1228 | 2018-02-23 |
| 1295274595 | Lourdes Dialysis LLC | Clinic/Center | 12001 Science Dr Ste 110, Orlando, FL 32826-2913 | 2017-02-20 |
| 1093294548 | Lourdes Dialysis LLC | Clinic/Center | 1350 N Hancock Rd, Clermont, FL 34711-5952 | 2018-08-07 |
| Street Address |
7560 RED BUG LAKE RD STE 1048 |
| City | OVIEDO |
| State | FL |
| Zip Code | 32765-6591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497705131 | Perri L Dumbacher | Family Medicine | 7560 Red Bug Lake Rd, Suite 2048, Oviedo, FL 32765-6591 | 2006-05-11 |
| 1174065155 | Soar Medicine | Physical Medicine & Rehabilitation | 7560 Red Bug Lake Rd, Suite 2014, Oviedo, FL 32765 | 2016-11-08 |
| 1508113895 | Carcamo Pediatrics, Inc | Pediatrics | 7560 Red Bug Lake Rd, Suite 1070, Oviedo, FL 32765-6591 | 2012-08-06 |
| 1083868202 | Miguel J. Morales, M.d., P.a. | Psychiatry & Neurology | 7560 Red Bug Lake Rd, Ste 2050, Oviedo, FL 32765-6591 | 2008-11-14 |
| 1205090974 | Jonathan Winston Phillips | Family Medicine | 7560 Red Bug Lake Rd, Oviedo, FL 32765-6591 | 2008-07-11 |
| 1740399799 | Antonio De Jesus Carcamo | Pediatrics | 7560 Red Bug Lake Rd, Suite# 1070, Oviedo, FL 32765-6591 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
| 1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
| 1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
| 1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
| 1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
| 1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
| 1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
| 1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
| Find all providers in zip 32765 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1538773411 | 5072020, LLC | Clinic/Center | 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 | 2020-09-08 |
| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
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| 1427668870 | Dialysis Spa, LLC | Clinic/Center | 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 | 2020-07-31 |
| 1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
| 1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
| 1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
| 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.