PHYSICIANS DIALYSIS ACQUISITIONS INC


Address: 11707 Whittier Ave, Detroit, MI 48224-1537
Phone: 3135091653

PHYSICIANS DIALYSIS ACQUISITIONS INC (NPI# 1972564490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972564490
Entity Type Organization
Organization Name PHYSICIANS DIALYSIS ACQUISITIONS INC
Other Organization Name ENGLISH VILLAGE DIALYSIS
Practice Address 11707 Whittier Ave
Detroit
MI 48224-1537
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027-7569
Practice Telephone 3135091653
Practice Fax Number 3135091655
Mailing Telephone 6153204514
Mailing Fax Number 8665949961
Enumeration Date 2006-04-01
Last Update Date 2020-10-05
Authorized Official Name JOHN D WINSTEL (CHIEF ACCOUNTING OFFICER)
Authorized Official Telephone 2537334501
Is Organization Subpart Y
Parent Organization Name DAVITA INC

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MI 4568174 05

Other Provider/Organization Names

Other Name Type Code
English Village Dialysis Doing Business As Name - Organization
PDI Cadieux Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1346374436 Physicians Dialysis Acquisitions Inc Clinic/Center 19 Glennie St, Ste A, Worcester, MA 01605-3918 2007-03-14
1073575882 Physicians Dialysis Acquisitions Inc Clinic/Center 344 Budfield St, Johnstown, PA 15904-3214 2006-04-05
1568424455 Physicians Dialysis Acquisitions Inc Clinic/Center 1230 Ekhart St Ne, Grand Rapids, MI 49503-1372 2006-04-05
1528020021 Physicians Dialysis Acquisitions Inc Clinic/Center 64 Victor St, Highland Park, MI 48203-3128 2006-04-03
1699736116 Physicians Dialysis Acquisitions Inc Clinic/Center 16964 Robbins Rd, Suite 203, Grand Haven, MI 49417-2796 2006-04-01
1508827023 Physicians Dialysis Acquisitions Inc Clinic/Center 801 Cherry St Se, Grand Rapids, MI 49506-1440 2006-04-01
1053387738 Physicians Dialysis Acquisitions Inc Clinic/Center 30 Waterchase Dr, Rocky Hill, CT 06067-2110 2006-02-23
1386606184 Physicians Dialysis Acquisitions Inc Clinic/Center 3905 Ford Rd, Philadelphia, PA 19131-2824 2006-04-05
1396707113 Physicians Dialysis Acquisitions Inc Clinic/Center 834 Walnut St, Philadelphia, PA 19107-5109 2006-04-05
1417919200 Physicians Dialysis Acquisitions Inc Clinic/Center 429 Manor Dr, Ste 650, Ebensburg, PA 15931-4917 2006-04-05

Office Location

Street Address 11707 WHITTIER AVE
City DETROIT
State MI
Zip Code 48224-1537

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NPI Name Taxonomy Address Enumeration
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1164977807 Dehvin White-peck Technician, Other 4529 Harvard Rd, Detroit, MI 48224 2016-08-23
1992153704 Andrea Henderson Licensed Practical Nurse 9131 Bradford, Detroit, MI 48224 2016-06-02
1467807578 Venus Staffing LLC Nursing Care 5601 Devonshire Rd, Detroit, MI 48224 2016-04-26
1558795625 Rafia El-alayli Internal Medicine 9901 Whittier Ave, Detroit, MI 48224 2013-08-26
1831334259 House of Hearts Ministry, Inc. Voluntary or Charitable 11151 Worden, Detroit, MI 48224 2008-12-15
1992994636 Lilian Lai Md PC Clinic/Center 15850 E Warren Ave, Detroit, MI 48224 2007-10-18
1184845844 Tymon C Totte Dentist 17700 Mack Ave, Great Expressions Dental Centers, Gross Pointe, MI 48224 2007-05-01
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740789536 Plover Dialysis LLC Clinic/Center 13945 Wyoming St, Detroit, MI 48238-2333 2018-02-07
1295192979 Detroit Kidney Center LLC Clinic/Center 13437 Schaefer Hwy, Detroit, MI 48227-3538 2016-01-26
1245533371 Chakudaku, Inc. Clinic/Center 1401 Rosa Parks Blvd, Detroit, MI 48216-1953 2010-12-11
1770816498 Advanced Dialysis of Greater Detroit LLC Clinic/Center 18600 James Couzens Hwy, Detroit, MI 48235-2509 2009-09-14
1528294691 Nephrology Center of Detroit LLC Clinic/Center 20001 Livernois Ave Ste 500, Detroit, MI 48221-4123 2009-06-03
1730227646 Grosse Pointe Dialysis LLC Clinic/Center 18000 E Warren Ave, Ste 100, Detroit, MI 48224-1336 2007-02-02
1730286014 Optimal Care Dialysis Clinic/Center 18600 James Couzens Fwy, Detroit, MI 48235-2509 2006-09-20
1538265335 Afton Nephrology Associates Clinic/Center 19800 Woodward Ave, Detroit, MI 48203-5102 2006-09-16
1871608612 Bio-medical Applications of Michigan, Inc. Clinic/Center 18430 Livernois Ave, Detroit, MI 48221-3295 2006-08-20
1093820839 Bio-medical Applications of Michigan, Inc. Clinic/Center 18944 Grand River Ave, Detroit, MI 48223-2270 2006-08-20
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Competitor

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City DETROIT
Zip Code 48224

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Dataset Information

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.

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