SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC (NPI# 1013190792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013190792 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC |
| Other Organization Name | PHOENIX DIALYSIS CENTER |
| Practice Address |
337 E Coronado Rd Ste 101 Phoenix AZ 85004-1582 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 6022539006 |
| Practice Fax Number | 6022539465 |
| Mailing Telephone | 6153416814 |
| Mailing Fax Number | 8002938405 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2020-09-08 |
| 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 |
OTC-4430 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 361281 | 05 |
| Other Name | Type Code |
|---|---|
| Phoenix Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932688256 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 926 E Mcdowell Rd Ste 100, Phoenix, AZ 85006-2503 | 2018-08-08 |
| 1770714701 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 975 W Chandler Heights Rd, Unit 101, Chandler, AZ 85248-5724 | 2009-08-08 |
| 1770758526 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 4845 W Mcdowell Rd, Ste 10a, 20a, 30a, Phoenix, AZ 85035-4076 | 2008-04-23 |
| 1164948121 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 1521 E Tangerine Rd Ste 101, Oro Valley, AZ 85755-6214 | 2017-08-21 |
| 1821344581 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 301 S Power Rd, Ste 104, Mesa, AZ 85206-5243 | 2012-07-31 |
| 1093071821 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 811 N Tegner St, Suites 101, 103, 105, 107, Wickenburg, AZ 85390-5409 | 2012-04-05 |
| 1700059227 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 1134 E University Dr, Ste 101, Mesa, AZ 85203-8048 | 2008-04-04 |
| 1790969681 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 20325 N 51st Ave, Bldg 11 Ste 184, Glendale, AZ 85308-5674 | 2007-12-27 |
| 1578746277 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 2149 E Warner Rd, Ste 110, Tempe, AZ 85284-3496 | 2007-12-17 |
| 1093998767 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 5222 E Baseline Rd, Ste 104, Gilbert, AZ 85234-2963 | 2007-12-17 |
| Street Address |
337 E CORONADO RD STE 101 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053305540 | Melissa M Go | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2005-09-09 |
| 1851799142 | Adella Deharo | Nurse Practitioner | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2014-12-18 |
| 1902231012 | Southwest Kidney Institute Scottsdale LLC | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2013-09-09 |
| 1295916831 | Anita I Chang | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2007-11-26 |
| 1922290253 | Himabindu Chaparala | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2007-08-10 |
| 1376660357 | Hannah R Sobol | Dietitian, Registered | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1583 | 2007-03-23 |
| 1225129752 | Jennifer L Ireland | Nurse Practitioner | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2006-09-28 |
| 1336155753 | Southwest Kidney Dialysis, LLC | Clinic/Center | 337 E Coronado Rd, Suite 101, Phoenix, AZ 85004-1580 | 2006-07-31 |
| 1508852716 | Amandeep S Khurana | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2005-09-22 |
| 1902892433 | Jeffrey A Laiserin | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2005-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| 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 |
|---|---|---|---|---|
| 1649730953 | Scottsdale Kidney Center LLC | Clinic/Center | 6970 E Chauncey Ln Ste 130, Phoenix, AZ 85054-5159 | 2019-03-22 |
| 1932688256 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 926 E Mcdowell Rd Ste 100, Phoenix, AZ 85006-2503 | 2018-08-08 |
| 1982152484 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 4901 W Mcdowell Rd Ste 120, Phoenix, AZ 85035-4160 | 2016-09-14 |
| 1528442779 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 16605 N 28th Ave Ste 100, Phoenix, AZ 85053-7551 | 2015-07-17 |
| 1295070761 | Calaveras Dialysis LLC | Clinic/Center | 5115 E Thomas Rd, Ste 115, Phoenix, AZ 85018-7914 | 2012-12-10 |
| 1801050604 | Southwest Kidney-davita Dialysis Partners LLC | Clinic/Center | 3540 E Baseline Rd Ste 110, Phoenix, AZ 85042-9628 | 2008-07-11 |
| 1770758526 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 4845 W Mcdowell Rd, Ste 10a, 20a, 30a, Phoenix, AZ 85035-4076 | 2008-04-23 |
| 1891897211 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 1957 W Dunlap Ave Ste 6c, Phoenix, AZ 85021-2985 | 2006-09-05 |
| 1053423954 | Bio-medical Applications of Arizona LLC | Clinic/Center | 3421 N 7th Ave, Phoenix, AZ 85013-3635 | 2006-08-31 |
| 1477665289 | Renal Dimensions, LLC | Clinic/Center | 15930 S 48th St, Suite 100, Phoenix, AZ 85048-0903 | 2006-08-31 |
| Find all providers in PHOENIX | ||||
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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.