DVA HEALTHCARE SOUTHWEST OHIO LLC (NPI# 1255395455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255395455 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE SOUTHWEST OHIO LLC |
| Other Organization Name | MT AUBURN DIALYSIS |
| Practice Address |
2109 Reading Rd Cincinnati OH 45202 |
| Mailing Address |
5200 Virginia Way L&c Department Brentwood TN 37027-7569 |
| Practice Telephone | 5137841800 |
| Practice Fax Number | 5137232355 |
| Mailing Telephone | 6152383051 |
| Mailing Fax Number | 8002468346 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2018-08-06 |
| 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 |
0173DC | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 3900008800 | 05 | |
| IN | 200317420A | 05 | |
| OH | 2037996 | 05 |
| Other Name | Type Code |
|---|---|
| Mt Auburn Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699739789 | Dva Healthcare Southwest Ohio LLC | Clinic/Center | 6550 Winton Rd, Cincinnati, OH 45224-1327 | 2006-04-14 |
| 1720042096 | Dva Healthcare Southwest Ohio LLC | Clinic/Center | 1210 Hicks Blvd, Fairfield, OH 45014-1921 | 2006-04-13 |
| 1427012764 | Dva Healthcare Southwest Ohio LLC | Clinic/Center | 3497 S Dixie Hwy, Franklin, OH 45005-5717 | 2006-04-13 |
| 1588628846 | Dva Healthcare Southwest Ohio LLC | Clinic/Center | 10600 Mckinley Rd, Blue Ash, OH 45242-3716 | 2006-04-13 |
| 1245294412 | Dva Healthcare Southwest Ohio LLC | Clinic/Center | 3267 Westbourne Dr, Cincinnati, OH 45248 | 2006-04-14 |
| Street Address |
2109 READING RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548224702 | Dva Renal Healthcare, Inc | Clinic/Center | 2109 Reading Rd, Cincinnati, OH 45202-1417 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811558067 | Courtney Stepp | Social Worker | 907 Vine St, Cincinnati, OH 45202 | 2019-06-27 |
| 1447726427 | Mark Kirby | Optometrist | 2045 Gilbert Avenue, Cincinnati, OH 45202 | 2018-10-17 |
| 1497233100 | Michael Mcmanus | Specialist/Technologist, Other | 8118 Corporate Way Suite 212, Evokes LLC, Cincinnati, OH 45202 | 2018-08-03 |
| 1891293924 | Samuel Thomas Tedtman | Specialist/Technologist | Great American Ball Park, 100 Joe Nuxhall Way, Cincinnati, OH 45202 | 2018-01-23 |
| 1013431006 | Shannon Kiniyalocts | Social Worker | 2208 Reading Road, Cincinnati, OH 45202 | 2017-08-01 |
| 1760937353 | Joyce Ann Thieman | Social Worker | 504 Hiberty Hill, Cincinnati, OH 45202 | 2016-08-24 |
| 1659825156 | Alicia Carver | Counselor | 911 Sycamore St # 400, Cincinnati, OH 45202 | 2016-08-12 |
| 1861836546 | Jeffrey Herbert Finke | Pharmacist | 945 Parkside Place, Apt 5, Cincinnati, OH 45202 | 2013-04-24 |
| 1942597141 | Kristin Erin Pletcher | Physician Assistant | 644 Eden Park Drive, Cincinnati, OH 45202 | 2011-07-08 |
| 1144514654 | James A Kirby IIi | Pharmacist | 555 Race St, Cincinnati, OH 45202 | 2011-06-01 |
| Find all providers in zip 45202 | ||||
| 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 |
|---|---|---|---|---|
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1225401649 | Cinld, LLC | Clinic/Center | 1555 Goodman Ave, Cincinnati, OH 45224-1058 | 2015-11-06 |
| 1144611278 | Texoma Dialysis LLC | Clinic/Center | 7700 Affinity Dr, Cincinnati, OH 45231-3566 | 2015-02-11 |
| 1033511092 | Infiniti Dialysis Center of Cincinnati LLC. | Clinic/Center | 4750 E. Galbraith Road, Suite #103, Cincinnati, OH 45236-6706 | 2014-09-22 |
| 1003236357 | Mermet Dialysis LLC | Clinic/Center | 7700 Affinity Pl, Cincinnati, OH 45231-3566 | 2014-04-24 |
| 1427489111 | Nxstage Cincinnati LLC | Clinic/Center | 12065 Montgomery Rd, Cincinnati, OH 45249-1728 | 2013-12-05 |
| 1922314582 | Fields Dialysis LLC | Clinic/Center | 2300 Wall St Ste O, Cincinnati, OH 45212-2789 | 2010-08-20 |
| 1770713026 | Dca of Kenwood LLC | Clinic/Center | 5150 E Galbraith Rd, Cincinnati, OH 45236-2871 | 2009-07-21 |
| 1730321696 | Fields Dialysis LLC | Clinic/Center | 1145 Kemper Meadow Dr, Cincinnati, OH 45240-4118 | 2009-03-24 |
| 1538304399 | Total Renal Care Inc | Clinic/Center | 3960 Red Bank Rd Ste 160, Cincinnati, OH 45227-3421 | 2008-12-09 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45202 |
Please comment or provide details below to improve the information on DVA HEALTHCARE SOUTHWEST OHIO LLC.
| 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.