ADVANCED DIALYSIS CLINIC LLC (NPI# 1093043663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093043663 |
| Entity Type | Organization |
| Organization Name | ADVANCED DIALYSIS CLINIC LLC |
| Practice Address |
170 Murray Guard Dr Suite C Jackson TN 38305-3609 |
| Practice Telephone | 7319848390 |
| Practice Fax Number | 7319848392 |
| Mailing Telephone | 7319848390 |
| Mailing Fax Number | 7319848392 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |
| Authorized Official Name | DR. SHYAMAL SARKAR (PRESIDENT) |
| Authorized Official Telephone | 7319848390 |
| Authorized Official Credential | MD |
| 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 |
| Street Address |
170 MURRAY GUARD DR SUITE C |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841260767 | Shyamal Sarkar | Specialist | 170 Murray Guard Dr, Jackson, TN 38305-3609 | 2006-01-24 |
| 1417264839 | Advanced Transport Company, LLC | Non-emergency Medical Transport (VAN) | 170 Murray Guard Dr, Suite B, Jackson, TN 38305-3609 | 2010-09-07 |
| 1275602765 | Advanced Kidney Specialists, P.C. | Specialist | 170 Murray Guard Dr, Jackson, TN 38305-3609 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| 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 |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1417481755 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 656 N State St, Jackson, MS 39202-3303 | 2017-04-13 |
| 1619274610 | Total Renal Care Inc | Clinic/Center | 46 Harts Bridge Road, Jackson, TN 38301-0000 | 2011-02-28 |
| 1770711509 | Fresenius Medical Care Kidney and Hypertension, LLC | Clinic/Center | 128 N Elm Ave, Jackson, MI 49202-3502 | 2009-07-01 |
| 1720220213 | Ara-jackson Dialysis LLC | Clinic/Center | 3 Acy Ave, Suite B, Jackson, OH 45640-9561 | 2009-03-30 |
| 1912166778 | Bio-medical Applications of Ohio Inc | Clinic/Center | 820 Veterans Dr, Jackson, OH 45640-2411 | 2008-06-06 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1245324045 | Rai Care Centers of Michigan I, LLC | Clinic/Center | 200 South East Ave., Jackson, MI 49201-2414 | 2006-10-03 |
| 1013019215 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1550 Highway 15 S Ste 30, Jackson, KY 41339-9221 | 2006-09-01 |
| 1518079359 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 2995 Race St, Jackson, LA 70748-5839 | 2006-08-31 |
| Find all providers in JACKSON | ||||
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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.