KAMAKA DIALYSIS LLC (NPI# 1245778372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245778372 |
Entity Type | Organization |
Organization Name | KAMAKA DIALYSIS LLC |
Other Organization Name | BOETTLER DIALYSIS |
Practice Address |
1587 Boettler Rd Ste 130 Uniontown OH 44685-7823 |
Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
Practice Telephone | 3308990035 |
Practice Fax Number | 3308964975 |
Mailing Telephone | 6152383051 |
Mailing Fax Number | 8002468346 |
Enumeration Date | 2017-02-09 |
Last Update Date | 2019-11-20 |
Authorized Official Name | JAMES K HILGER (CHIEF ACCOUNTING OFFICER) |
Authorized Official Telephone | 2537334500 |
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 |
---|---|---|---|
OH | 0274115 | 05 |
Other Name | Type Code |
---|---|
Boettler Dialysis | Doing Business As Name - Organization |
Street Address |
1587 BOETTLER RD STE 130 |
City | UNIONTOWN |
State | OH |
Zip Code | 44685-7823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417944919 | Barbara Jean Bailey | Family Medicine | 1587 Boettler Rd, Uniontown, OH 44685-7823 | 2005-09-30 |
1548561749 | Elizabeth A Errington | Nurse Practitioner | 1587 Boettler Rd, Uniontown, OH 44685-7823 | 2010-11-04 |
1124200613 | Akron General Medical Center | Clinic/Center | 1587 Boettler Rd, Suite 103, Uniontown, OH 44685-7823 | 2007-11-27 |
1952580979 | Jeffery Robert Peiffer | Family Medicine | 1587 Boettler Rd, Uniontown, OH 44685-7823 | 2007-10-26 |
1134320310 | Joshua Matthew Mcnatt | Family Medicine | 1587 Boettler Rd, #104, Uniontown, OH 44685-7823 | 2007-05-29 |
1801999115 | Reflections Breast Health Center | Radiology | 1587 Boettler Rd, Suite 101, Uniontown, OH 44685-7823 | 2006-09-06 |
1689654352 | Michael J Ginella | Internal Medicine | 1587 Boettler Rd, Uniontown, OH 44685-7823 | 2006-01-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932719457 | Bonnie Jean Dearmitt | Home Health Aide | 1550 Corporate Woods Parkway, Uniontown, OH 44685 | 2020-08-10 |
1902434012 | Jennifer Lenz | Physical Therapist | 1490 Town Park Blvd., Uniontown, OH 44685 | 2020-04-01 |
1245778505 | Mary Christina Mcmullen | Nurse Practitioner | 1560 Corporate Woods Pkwy Ste 313, Uniontown, OH 44685 | 2017-02-07 |
1447649173 | Verrelle Lee Wyatt | Physical Therapist | 1587 Boettler Rd Ste 140, Uniontown, OH 44685 | 2015-01-19 |
1043636459 | Cathy Anne Marshall | Licensed Practical Nurse | 3474 Wright Rd Nw, Uniontown, OH 44685 | 2014-03-10 |
1033545991 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 3761 Massilon Rd, Green, OH 44685 | 2013-09-23 |
1417399643 | T's Transportation | Private Vehicle | 3072 Raymond St Nw, Uniontown, OH 44685 | 2013-07-30 |
1831531052 | Carmen Polanco Santos | Internal Medicine | 1946 Town Park Blvd Ste 330, Uniontown, OH 44685 | 2013-07-30 |
1659637171 | Summa Emergency Associates Inc | Emergency Medicine | 1825 Frank Parkway, Uniontown, OH 44685 | 2012-04-10 |
1659661619 | Olga A Kuzmin | Internal Medicine | 1835 Franks Parkway, Summa Physicians Inc. Green Internal Medicine, Uniontown, OH 44685 | 2011-04-12 |
Find all providers in zip 44685 |
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 |
---|---|---|---|---|
1548570666 | Rai Care Centers of Uniontown LLC | Clinic/Center | 201 Mary Higginson Lane, Uniontown, PA 15401-2658 | 2010-10-08 |
1982872248 | Fresenius Medical Care Comprehensive Ckd Se | Clinic/Center | 360 Walmart Dr, Uniontown, PA 15401-3109 | 2008-02-20 |
1073618369 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 360 Walmart Dr., Suite 175, Uniontown, PA 15401-8422 | 2006-09-13 |
1720193550 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 1565 Corporate Woods Pkwy, #100, Uniontown, OH 44685-7820 | 2006-08-20 |
1215379847 | Total Renal Care Inc | Clinic/Center | 201 Mary Higginson Ln, Ste A, Uniontown, PA 15401-2658 | 2013-07-24 |
1154374791 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 100 Woodlawn Ave, Ste 175 Fmc Medical Services of Uniontown - Ckd Service, Uniontown, PA 15401-3105 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235744616 | Akron Renal Care Group, LLC | Clinic/Center | 2583 Center Rd, Hinckley, OH 44233-9561 | 2020-09-11 |
1366057747 | Akron Renal Care Group, LLC | Clinic/Center | 9200 Staples Dr Ste A, Streetsboro, OH 44241-3950 | 2020-09-11 |
1518570886 | Independent Dialysis Group Northeast Ohio LLC | Clinic/Center | 48444 Bell School Rd Ste 4, Calcutta, OH 43920-9646 | 2020-08-26 |
1871106401 | Akron Renal Care Group, LLC | Clinic/Center | 401 Devon Pl Ste 100, Kent, OH 44240-6481 | 2020-08-24 |
1558985663 | Wyandot Dialysis Clinic LLC | Clinic/Center | 1207 E Wyandot Ave, Upper Sandusky, OH 43351-9647 | 2020-06-04 |
1245854876 | Concerto Ohio LLC | Clinic/Center | 2111 S Green Rd, South Euclid, OH 44121-3350 | 2020-05-29 |
1548899602 | Northeast Ohio Home Dialysis LLC | Clinic/Center | 2819 S Hayes Ave Ste 8, Sandusky, OH 44870-5391 | 2020-04-02 |
1982242954 | Center for Dialysis Care Beachwood Home Care LLC | Clinic/Center | 3755 Orange Pl Ste 103, Beachwood, OH 44122-4455 | 2019-12-20 |
1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
1912554486 | Usrc Tiffin, LLC | Clinic/Center | 100 Shaffer Park Dr Ste A, Tiffin, OH 44883-8536 | 2019-08-20 |
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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.