SOUTHWEST KIDNEY DIALYSIS, LLC (NPI# 1134178007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134178007 |
Entity Type | Organization |
Organization Name | SOUTHWEST KIDNEY DIALYSIS, LLC |
Practice Address |
2149 E Warner Rd Suite 110 Tempe AZ 85284-3494 |
Mailing Address |
2149 E Warner Rd Suite 101 Tempe AZ 85284-3494 |
Practice Telephone | 4806106170 |
Practice Fax Number | 4806106179 |
Mailing Telephone | 4806106100 |
Mailing Fax Number | 4806106195 |
Enumeration Date | 2006-05-09 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. JEFFREY WEINTRAUB (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 4806106100 |
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 |
3768 | AZ | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346436532 | Southwest Kidney Dialysis, LLC | Clinic/Center | 10238 E. Hampton Avenue, Suite 108, Mesa, AZ 85209 | 2007-09-20 |
1518973932 | Southwest Kidney Dialysis, LLC | Clinic/Center | 8410 W Thomas Road, Building 1, Suite 100, Phoenix, AZ 85037-3494 | 2006-07-31 |
1487603478 | Southwest Kidney Dialysis, LLC | Clinic/Center | 5222 E Baseline Rd, Suite 104, Gilbert, AZ 85234-2963 | 2006-05-08 |
1770700171 | Southwest Kidney Dialysis, LLC | Clinic/Center | 20325 N 51st Ave, Building 11, Suite 186, Glendale, AZ 85308-5674 | 2007-04-19 |
1336155753 | Southwest Kidney Dialysis, LLC | Clinic/Center | 337 E Coronado Rd, Suite 101, Phoenix, AZ 85004-1580 | 2006-07-31 |
1053360925 | Southwest Kidney Dialysis, LLC | Clinic/Center | 20325 N 51st Ave, Building 11 Suite 184, Glendale, AZ 85308-5674 | 2006-05-09 |
Street Address |
2149 E WARNER RD SUITE 110 |
City | TEMPE |
State | AZ |
Zip Code | 85284-3494 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578746277 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 2149 E Warner Rd, Ste 110, Tempe, AZ 85284-3496 | 2007-12-17 |
1073722625 | Stacey Elise Flanigan | Social Worker | 2149 E Warner Rd, Tempe, AZ 85284-3494 | 2007-05-21 |
1780762203 | Paula Murphy | Dietitian, Registered | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3494 | 2006-11-01 |
1760428767 | Beth Ann Spanier | Dietitian, Registered | 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3494 | 2006-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275187726 | Satbir Khara | Dentist | 2010 E. Elliot Rd. Suite 105, Tempe, AZ 85284 | 2019-08-01 |
1093287187 | Tawnie C Caracci | Registered Nurse | 1437 W. Auto Drive, Tempe, AZ 85284 | 2018-12-30 |
1932695947 | Angels of Mercy Attendant Care LLC | In Home Supportive Care | 130 W Freda Rd, Tempe, AZ 85284 | 2018-07-03 |
1487169009 | Restorative Healing and Counseling Center LLC | Clinic/Center | 9855 S. Priest Drive, Suite 102, Tempe, AZ 85284 | 2017-12-05 |
1366964934 | Devoted Guardians Home Health LLC | Home Health | 1705 West Ruby Drive, #107, Tempe, AZ 85284 | 2017-07-14 |
1982134565 | Otilia Elizabeth Herrera Jaimes | Specialist/Technologist | 315 W. Elliot Road #107-250, Tempe, AZ 85284 | 2017-06-15 |
1982142873 | Tempe Outpatient Treatment Center LLC | Clinic/Center | 1001 E Warner Rd Ste 103, Tempe, AZ 85284 | 2017-02-10 |
1386180560 | Jenna Bernal | Registered Nurse | 931 E Elliot Rd Ste 115, Tempe, AZ 85284 | 2017-01-12 |
1780084533 | Mirvat Farah | Specialist/Technologist | 341 W El Freda Rd, Tempe, AZ 85284 | 2014-08-29 |
1245661503 | Janine L Roberts | Registered Nurse | 2033 E Warner Rd #109, Tempe, AZ 85284 | 2013-12-11 |
Find all providers in zip 85284 |
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 |
---|---|---|---|---|
1942312756 | Renal Care Group Arizona, LLC | Clinic/Center | 1449 W Southern Ave, Tempe, AZ 85282-4446 | 2006-08-31 |
1760437909 | Dsi Renal Inc | Clinic/Center | 8820 S Kyrene Rd, Tempe, AZ 85284-2934 | 2006-05-24 |
1356624829 | Dialysis Newco Inc | Clinic/Center | 8820 S Kyrene Rd, Tempe, AZ 85284-2934 | 2011-09-21 |
1578746277 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 2149 E Warner Rd, Ste 110, Tempe, AZ 85284-3496 | 2007-12-17 |
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.