ISD RENAL INC (NPI# 1285171454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285171454 |
| Entity Type | Organization |
| Organization Name | ISD RENAL INC |
| Other Organization Name | NORTHRIDGE DIALYSIS |
| Practice Address |
139 Market Place Dr North Augusta SC 29860-9274 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8032792628 |
| Practice Fax Number | 8032792578 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | MR. JOHN WINSTEL (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334501 |
| 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 |
SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RE0089 | 05 |
| Other Name | Type Code |
|---|---|
| Northridge Dialysis | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344307 | Isd Renal Inc | Clinic/Center | 1930 S Broad St Unit 7, Philadelphia, PA 19145-2328 | 2020-07-24 |
| 1225647332 | Isd Renal Inc | Clinic/Center | 230 N Broad St Bldg 12th, Philadelphia, PA 19102-1121 | 2020-07-24 |
| 1336758549 | Isd Renal Inc | Clinic/Center | 1300 W Lehigh Ave Ste 106, Philadelphia, PA 19132-2764 | 2020-07-24 |
| 1538793773 | Isd Renal Inc | Clinic/Center | 2317 Memorial Pkwy Sw Ste 105, Huntsville, AL 35801-5623 | 2020-02-26 |
| 1821646035 | Isd Renal Inc | Clinic/Center | 262 Broad St, Newark, NJ 07104-3809 | 2019-08-30 |
| 1245891670 | Isd Renal Inc | Clinic/Center | 100 W Forest Ave Ste G, Englewood, NJ 07631-4033 | 2019-06-26 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1003390469 | Isd Renal Inc | Clinic/Center | 1843 Foreman Dr Ste 201, Cookeville, TN 38501-5933 | 2018-09-21 |
| 1174006662 | Isd Renal Inc | Clinic/Center | 2636 W Michigan St, Indianapolis, IN 46222-3727 | 2018-09-11 |
| 1619459682 | Isd Renal Inc | Clinic/Center | 620 Mall Blvd Ste E, Dyersburg, TN 38024-1649 | 2018-09-05 |
| Street Address |
139 MARKET PLACE DR |
| City | NORTH AUGUSTA |
| State | SC |
| Zip Code | 29860-9274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519507 | Stephanie Silva Dmd, LLC | Dentist | 133 Allen Court, North Augusta, SC 29860 | 2020-05-15 |
| 1013499193 | Shannon Denise Richardson | Occupational Therapy Assistant | 305 Graybill Rd, North Augusta, SC 29860 | 2018-09-05 |
| 1174990923 | Valensia Clark | Occupational Therapy Assistant | 49 Lionsgate Drive, North Augusta, SC 29860 | 2015-08-27 |
| 1104219617 | Linda Carole Sherrard | Counselor | 1367 W Martintown Rd Ste 7, North Augusta, SC 29860 | 2015-03-07 |
| 1205244274 | Wal-mart Stores East, Lp | Technician/Technologist | 1041 Edgefield, North Augusta, GA 29860 | 2014-07-23 |
| 1609086149 | Cedar Bluff Family and Cosmetic Dentistry Pa | Dentist | 634 B Fairview Rd, Suite 1, Simpsonville, SC 29860 | 2007-05-23 |
| 1396897021 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 135 Market Plaza Dr., No Augusta, SC 29860 | 2007-01-16 |
| 1538123294 | Paul M Weiner | Emergency Medicine | 107 Walnut Ln Ste 102, North Augusta, SC 29860 | 2006-04-12 |
| 1255844478 | Lauren Boynton | Nurse Practitioner | 140 Allen Court, North Augusta, SC 29860 | 2017-11-09 |
| 1851642219 | Raul Luevano | Nurse Practitioner | 698 Fairview Rd, Simpsonville, SC 29860 | 2012-09-26 |
| Find all providers in zip 29860 | ||||
| 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 |
|---|---|---|---|---|
| 1235241043 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 802 E Martintown Rd, Suite 195, North Augusta, SC 29841-5308 | 2006-08-31 |
| 1477500890 | Nra-north Augusta, South Carolina, LLC | Clinic/Center | 10263 Atomic Rd, North Augusta, SC 29841-4484 | 2006-05-30 |
| 1528020674 | Dva Healthcare Renal Care Inc | Clinic/Center | 201 Edgefield Rd, North Augusta, SC 29841-2400 | 2006-04-04 |
| 1912471152 | North Augusta Dialysis Center LLC | Clinic/Center | 10263 Atomic Rd, North Augusta, SC 29841-4484 | 2019-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376160275 | Rco of Moncks Corner, Sc LLC | Clinic/Center | 422 Drive In Lane, Moncks Corner, SC 29461-0000 | 2020-06-26 |
| 1912536384 | Traville Dialysis, LLC | Clinic/Center | 196 Sloane Garden Rd, Boiling Springs, SC 29316-1929 | 2020-04-07 |
| 1992344196 | Sunrays Dialysis, LLC | Clinic/Center | 8080 Augusta Rd, Piedmont, SC 29673-9363 | 2020-01-06 |
| 1407494362 | Dialysis Center of Carolina LLC | Clinic/Center | 325 W Wesmark Blvd Ste A, Sumter, SC 29150-1987 | 2019-12-11 |
| 1194384701 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 214 Dawson Rd, Columbia, SC 29223-1704 | 2019-06-07 |
| 1740845445 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 300 Baxter Brown Way, Summerville, SC 29486-8105 | 2019-05-08 |
| 1730644246 | Lanier Dialysis, LLC | Clinic/Center | 5552 Platt Springs Rd, Lexington, SC 29073-7518 | 2019-02-08 |
| 1568945210 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 5301 Highway 321, Gaston, SC 29053-9196 | 2018-09-10 |
| 1932604527 | Isd Renal Inc | Clinic/Center | 5506 Platt Springs Rd, Lexington, SC 29073-7518 | 2018-03-27 |
| 1740785518 | Jabine Dialysis, LLC | Clinic/Center | 3337 Highway 72-221 E, Greenwood, SC 29649-9772 | 2018-03-26 |
| Find all providers with the same taxonomy | ||||
| City | NORTH AUGUSTA |
| Zip Code | 29860 |
Please comment or provide details below to improve the information on ISD RENAL INC.
| 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.