PINEWOODS DIALYSIS LLC


Address: 12201 W 110th St, Overland Park, KS 66210-4045
Phone: 9134515984

PINEWOODS DIALYSIS LLC (NPI# 1265947477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265947477
Entity Type Organization
Organization Name PINEWOODS DIALYSIS LLC
Other Organization Name OVERLAND PARK DIALYSIS
Practice Address 12201 W 110th St
Overland Park
KS 66210-4045
Mailing Address 5200 Virginia Way
L&c Dept
Brentwood
TN 37027
Practice Telephone 9134515984
Practice Fax Number 9133275401
Mailing Telephone 6153204268
Mailing Fax Number 8772380567
Enumeration Date 2017-12-11
Last Update Date 2019-04-03
Authorized Official Name JAMES HILGER (CHIEF ACCOUNTING OFFICE/INTERIM CFO)
Authorized Official Telephone 2537334500
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
Overland Park Dialysis Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801205570 Pinewoods Dialysis LLC Clinic/Center 1616 Industrial Road, Ste 2004, Emporia, KS 66801-0000 2014-08-07

Office Location

Street Address 12201 W 110TH ST
City OVERLAND PARK
State KS
Zip Code 66210-4045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093226086 Total Renal Care Inc Clinic/Center 12201 W 110th St, Overland Park, KS 66210-0004 2017-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437794302 Sme Kansas P.a. General Practice 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 2019-11-14
1417591165 Refractive Cataract Center, LLC Clinic/Center 8300 College Boulevard, Suite 201, Overland Park, KS 66210 2019-11-05
1336705730 Above & Beyond In-home Kansas, LLC In Home Supportive Care 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 2019-05-13
1528531720 Sarah J Sievers Acupuncturist 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 2019-01-10
1790286326 Sarah E Hamilton Physician Assistant 8490 College Boulevard, Overland, KS 66210 2018-02-28
1730600750 True Health and Wellness, LLC Family Medicine 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 2017-06-29
1639610603 Kayla Jolene Lawrance Advanced Practice Midwife 9202 W. 110th St., Building 36, Overland Park, KS 66210 2017-03-10
1972041952 Ccrc of Cedar Rapids, LLC Skilled Nursing Facility 11827 W 112th St, Suite 103, Overland Park, KS 66210 2017-02-09
1396122008 Laurie Jean Sansom Counselor 8575 W. 110th, Ste. 218, Overland Park, KS 66210 2015-05-01
1790181063 Susan J. Anderson, Psy.d., Pa Psychologist 8500 W. 100th Street, 540, Overland Park, KS 66210 2014-11-13
Find all providers in zip 66210

Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083248181 Pure Life Renal of Overland Park, LLC Clinic/Center 11661 College Blvd Ste 106, Overland Park, KS 66210-4107 2020-02-27
1093226086 Total Renal Care Inc Clinic/Center 12201 W 110th St, Overland Park, KS 66210-0004 2017-10-17
1710368063 Home Dialysis Services Kansas City Clinic/Center 6740 W 121st St Ste 100, Overland Park, KS 66209-2042 2015-06-12
1588779300 Bio-medical Applications of Kansas, Inc. Clinic/Center 6751 West 119th Street, Overland Park, KS 66209-2013 2006-08-20
1215596598 Concerto Kansas LLC Clinic/Center 6740 W 121st St, Overland Park, KS 66209-2002 2019-06-10
1013271410 Kenai Dialysis LLC Clinic/Center 10787 Nall Ave, Ste 130, Overland Park, KS 66211-1375 2012-06-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306381942 Caddoan Dialysis LLC Clinic/Center 2852 W 47th Ave, Kansas City, KS 66103-3243 2017-01-05
1982150595 Bio-medical Applications of Kansas, Inc. Clinic/Center 3408 Se 29th St, Topeka, KS 66605 2016-09-01
1457704637 Total Renal Care Inc Clinic/Center 519 Mccall Rd Ste 100, Manhattan, KS 66502-5038 2016-07-22
1871943712 Fresenius Medical Care Garden City LLC Clinic/Center 2053 E Mary St, Garden City, KS 67846-3617 2016-06-21
1558725259 Caesar Dialysis LLC Clinic/Center 2425 S Rouse St, Pittsburg, KS 66762-6606 2016-04-08
1588021968 Total Renal Care Inc Clinic/Center 1812 S Seneca St, Ste 110, Wichita, KS 67213-4104 2016-01-15
1962871012 Total Renal Care Inc Clinic/Center 1918 E 23rd St, Lawrence, KS 66046-5069 2015-09-18
1538538673 Total Renal Care Inc Clinic/Center 14010 W 134th Pl, Olathe, KS 66062-6139 2015-09-18
1306237854 Total Renal Care Inc Clinic/Center 3711 Sw Wanamaker Rd, Topeka, KS 66610-1368 2015-02-05
1033528708 Total Renal Care Inc Clinic/Center 1616 Industrial Rd, Ste 2004, Emporia, KS 66801-6222 2014-08-07
Find all providers with the same taxonomy

Competitor

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City OVERLAND PARK
Zip Code 66210

Improve Information

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Dataset Information

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.

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