DVA RENAL HEALTHCARE INC (NPI# 1043441710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043441710 |
| Entity Type | Organization |
| Organization Name | DVA RENAL HEALTHCARE INC |
| Other Organization Name | LEXINGTON OK PRISON |
| Practice Address |
3545 Nw 58th St Ste 600 Oklahoma City OK 73112-4726 |
| Mailing Address |
5200 Virginia Way Ste 400 L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 4055278996 |
| Practice Fax Number | 4055278989 |
| Mailing Telephone | 6153204521 |
| Mailing Fax Number | 8665942894 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |
| Authorized Official Name | JAMES K HILGER (VICE PRESIDENT) |
| Authorized Official Telephone | 2533821919 |
| 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 |
| Other Name | Type Code |
|---|---|
| Lexington OK Prison | 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 |
3545 NW 58TH ST STE 600 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023057908 | Ernest Uche Orieh | Contractor | 3545 Nw 58th St, Suite 370, Oklahoma City, OK 73112-4726 | 2006-06-06 |
| 1013277979 | Heartland Travel Health Services LLC | Health Maintenance Organization | 3545 Nw 58th St, Suit 340, Oklahoma City, OK 73112-4726 | 2012-05-24 |
| 1467566935 | Jennifer Dawn Halberg | Physical Therapist | 3545 Nw 58th St, Suite 940e, Oklahoma City, OK 73112-4726 | 2006-08-19 |
| 1629010517 | Kerry Cranmer | Family Medicine | 3545 Nw 58th St, Ste 750, Oklahoma City, OK 73112-4726 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| 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 |
|---|---|---|---|---|
| 1043820111 | Midtown Home Dialysis LLC | Clinic/Center | 621 Nw 6th St, Oklahoma City, OK 73102-1203 | 2020-08-04 |
| 1346879640 | Fresenius Medical Care Okcd, LLC | Clinic/Center | 3012 Nw 150th St, Oklahoma City, OK 73134-2030 | 2020-04-07 |
| 1124509245 | Renal Treatment Centers West Inc | Clinic/Center | 6917 N May Ave, Oklahoma City, OK 73116-3238 | 2018-08-27 |
| 1942578422 | Rusk Dialysis. LLC | Clinic/Center | 1059 Se 82nd St, Oklahoma City, OK 73149-2999 | 2011-12-12 |
| 1851621213 | Cleveland Nephrologists, Pllc | Clinic/Center | 1059 Se 82nd, Oklahoma City, OK 73149-2902 | 2010-01-07 |
| 1710214788 | Fresenius Medical Care Central Oklahoma City Dialysis Center, LLC | Clinic/Center | 3107 Nw 50th St, Oklahoma City, OK 73112-5302 | 2009-11-11 |
| 1295882397 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 200 Ne 50th St, Oklahoma City, OK 73105-1812 | 2007-01-04 |
| 1174686513 | Fresenius Medical Care 5856, LLC | Clinic/Center | 5419 S Western Ave, Oklahoma City, OK 73109-4506 | 2006-12-18 |
| 1265592661 | Fresenius Integris, LLC | Clinic/Center | 3806 N Barr Ave, Oklahoma City, OK 73122-2410 | 2006-12-08 |
| 1285746172 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 1011 N Dewey Ave Ste 300, Oklahoma City, OK 73102-1024 | 2006-08-31 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on DVA RENAL HEALTHCARE INC.
| 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.