SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC (NPI# 1093998767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093998767 |
Entity Type | Organization |
Organization Name | SOUTHWEST KIDNEY DAVITA DIALYSIS PARTNERS LLC |
Other Organization Name | GILBERT DIALYSIS CENTER |
Practice Address |
5222 E Baseline Rd Ste 104 Gilbert AZ 85234-2963 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 4808326996 |
Practice Fax Number | 4808327337 |
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 |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 361364 | 05 |
Other Name | Type Code |
---|---|
Gilbert 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 |
1033392709 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 8410 W Thomas Rd, Ste 100 Bldg 1, Phoenix, AZ 85037-3356 | 2007-12-17 |
Street Address |
5222 E BASELINE RD STE 104 |
City | GILBERT |
State | AZ |
Zip Code | 85234-2963 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487603478 | Southwest Kidney Dialysis, LLC | Clinic/Center | 5222 E Baseline Rd, Suite 104, Gilbert, AZ 85234-2963 | 2006-05-08 |
1235363235 | Partners In Recovery, LLC | Clinic/Center | 5222 E Baseline Rd, Suite 101, Gilbert, AZ 85234-2963 | 2009-05-06 |
1194965145 | Magellan Health Services of Arizona, Inc | Case Management | 5222 E Baseline Rd, Gilbert, AZ 85234-2963 | 2009-03-04 |
1801093406 | Arashdeep Gill | Psychiatry & Neurology | 5222 E Baseline Rd, Suite 101, Gilbert, AZ 85234-2963 | 2007-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
Find all providers in zip 85234 |
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 |
---|---|---|---|---|
1407176068 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 3511 S Mercy Rd Ste 101, Gilbert, AZ 85297-0443 | 2010-06-07 |
1447280565 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 1525 N Gilbert Rd Ste 121, Gilbert, AZ 85234-2305 | 2006-07-04 |
1487603478 | Southwest Kidney Dialysis, LLC | Clinic/Center | 5222 E Baseline Rd, Suite 104, Gilbert, AZ 85234-2963 | 2006-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
1043826191 | Fresenius Medical Care Yuma, LLC | Clinic/Center | 1200 S Castle Dome Ave Ste C, Yuma, AZ 85365-5305 | 2020-09-23 |
1215577598 | Southwest Kidney - Davita Dialysis Partners LLC | Clinic/Center | 14671 W Mountain View Blvd Ste 102, Surprise, AZ 85374-4840 | 2020-01-14 |
1225678774 | Endicott Dialysis LLC | Clinic/Center | 2500 S 8th Ave Ste 102, Yuma, AZ 85364-7132 | 2020-01-13 |
1811450281 | Bio Medical Applications of Arizona LLC | Clinic/Center | 450 S Gilbert Rd, Chandler, AZ 85225-2479 | 2019-04-11 |
1437612165 | Southwest Kidney - Davita Dialysis Partners LLC | Clinic/Center | 14620 W Encanto Blvd Ste 110, Goodyear, AZ 85395-1616 | 2019-04-10 |
1649730953 | Scottsdale Kidney Center LLC | Clinic/Center | 6970 E Chauncey Ln Ste 130, Phoenix, AZ 85054-5159 | 2019-03-22 |
1437613916 | Premier Home Dialysis Services | Clinic/Center | 20118 N 67th Ave Ste 300-527, Glendale, AZ 85308-4621 | 2019-01-29 |
1801369186 | Bio Medical Applications of Arizona LLC | Clinic/Center | 7862 E Florentine Rd Ste 100, Prescott Valley, AZ 86314-2216 | 2019-01-09 |
1932688256 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 926 E Mcdowell Rd Ste 100, Phoenix, AZ 85006-2503 | 2018-08-08 |
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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.