FORT SANDERS KIDNEY CENTER (NPI# 1154333912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154333912 |
| Entity Type | Organization |
| Organization Name | FORT SANDERS KIDNEY CENTER |
| Other Organization Name | MORRISTOWN DIALYSIS CLINIC |
| Practice Address |
120 Pearce Dr Morristown TN 37814-3649 |
| Mailing Address |
2001 Laurel Ave Suite 203 Knoxville TN 37916-1810 |
| Practice Telephone | 4235873537 |
| Practice Fax Number | 4235873538 |
| Mailing Telephone | 8656375186 |
| Mailing Fax Number | 8656375121 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2011-10-06 |
| Authorized Official Name | DR. NASEEM SIDDIQI (SENIOR PHYSICIAN) |
| Authorized Official Telephone | 8656375186 |
| Authorized Official Credential | M.D. |
| 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 |
0000000066 | TN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Morristown Dialysis Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366454118 | Fort Sanders Kidney Center | Clinic/Center | 2717 E Magnolia Ave, Knoxville, TN 37914-5247 | 2006-08-12 |
| 1821022740 | Fort Sanders Kidney Center | Clinic/Center | 503 Elm Ave, New Tazewell, TN 37825-7525 | 2006-07-10 |
| Street Address |
120 PEARCE DR |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37814-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124398698 | Total Renal Care Inc | Clinic/Center | 120 Pearce Dr, Morristown, TN 37814-3649 | 2011-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700357035 | Morristown Heart, Pllc | Internal Medicine | Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 | 2018-12-16 |
| 1669942207 | Amanda Madeline Still | Case Manager/Care Coordinator | 310 West Third North Street, Morristown, TN 37814 | 2018-11-27 |
| 1750858353 | April Caroline Lankford | Case Manager/Care Coordinator | 310 W 3rd North Street, Morristown, TN 37814 | 2018-11-01 |
| 1588165112 | Cara Victoria Jill Mcmahan | Registered Nurse | 310 W 3rd N Street, Morristown, TN 37814 | 2018-02-28 |
| 1770084303 | Janine Barnett | Case Manager/Care Coordinator | 210 W. 3rd North Street, Morristown, TN 37814 | 2018-02-28 |
| 1831616655 | Genoa Healthcare, LLC | Pharmacy | 310 W 3rd North St Ste Pharm, Morristown, TN 37814 | 2017-08-23 |
| 1124542113 | Jenny Lothamer Withem | Speech-Language Pathologist | 6205 Wintergreen Rd, Morristown, TN 37814 | 2017-08-01 |
| 1568998011 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Drive, Morristown, TN 37814 | 2017-05-03 |
| 1225587157 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Dr., Morristown, TN 37814 | 2016-10-04 |
| 1225406317 | Alps Adult Day Services | Clinic/Center | 600 N. Daisy St., Morristown, TN 37814 | 2015-09-08 |
| Find all providers in zip 37814 | ||||
| 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 |
|---|---|---|---|---|
| 1124398698 | Total Renal Care Inc | Clinic/Center | 120 Pearce Dr, Morristown, TN 37814-3649 | 2011-12-30 |
| 1881947000 | Renal Center of Morristown, LLC | Clinic/Center | 100 Madison Ave, Morristown, NJ 07960-6136 | 2012-10-25 |
| 1689977423 | Fresenius Medical Care Morristown, LLC | Clinic/Center | 420 W Morris Blvd, Suite 110, Morristown, TN 37813-2283 | 2010-12-17 |
| 1639482276 | Fresenius Medical Care East Morris, LLC | Clinic/Center | 55 Madison Ave, Ste 170, Morristown, NJ 07960-7337 | 2010-07-25 |
| 1699887414 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 420 W Morris Blvd, Suite 110, Morristown, TN 37813-2283 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736438 | Fresenius Medical Care Cookeville, LLC | Clinic/Center | 117 N Hickory Ave Ste 100, Cookeville, TN 38501-2424 | 2019-12-03 |
| 1245872829 | Pure Life Renal of Cool Springs, LLC | Clinic/Center | 1648 Westgate Cir Ste 100, Brentwood, TN 37027-8019 | 2019-10-15 |
| 1386298560 | Mattapan Dialysis LLC | Clinic/Center | 5144 Riverdale Rd Ste 103, Memphis, TN 38141-0271 | 2019-07-26 |
| 1114480761 | Avail Southeast Kidney Care LLC | Clinic/Center | 2008 Brookside Dr Ste 100, Kingsport, TN 37660-4640 | 2019-04-10 |
| 1609337161 | Dialysis Clinic Inc | Clinic/Center | 5653 Frist Blvd Ste 334, Hermitage, TN 37076-2064 | 2019-03-27 |
| 1972062669 | Dialyze Direct Tn, LLC | Clinic/Center | 2600 Thousand Oaks Blvd Ste 1400, Memphis, TN 38118-2401 | 2019-03-13 |
| 1336610757 | Fresenius Medical Care Columbia Franklin, LLC | Clinic/Center | 8048 Station Hill Drive, Spring Hill, TN 37174 | 2018-12-11 |
| 1770052888 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 6085 Arbury Way, Ooltewah, TN 37363 | 2018-11-19 |
| 1164907929 | Fresenius Medical Care Sandy River, LLC | Clinic/Center | 57 Commerce St, Paris, TN 38242-4917 | 2018-09-27 |
| 1003390469 | Isd Renal Inc | Clinic/Center | 1843 Foreman Dr Ste 201, Cookeville, TN 38501-5933 | 2018-09-21 |
| Find all providers with the same taxonomy | ||||
| City | MORRISTOWN |
| Zip Code | 37814 |
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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.