GRAYSON DIALYSIS AND KIDNEY CENTER (NPI# 1316069701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316069701 |
| Entity Type | Organization |
| Organization Name | GRAYSON DIALYSIS AND KIDNEY CENTER |
| Practice Address |
1656 13th Ave Huntington WV 25701-3829 |
| Mailing Address |
286 Highway 1947 Grayson KY 41143 |
| Practice Telephone | 3045292090 |
| Practice Fax Number | 3045222658 |
| Mailing Telephone | 6064742310 |
| Mailing Fax Number | 6064740569 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SUBHASH KUMAR (OWNER MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3046548074 |
| Authorized Official Credential | MD |
| 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 |
|---|---|---|---|
| WV | 3810006539 | 05 | |
| KY | ANTHEM BCBS PROV NUMBER | 000000494978 | 01 |
| Street Address |
1656 13TH AVE |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25701-3829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164474425 | Subhash Kumar | Internal Medicine | 1656 13th Ave, Huntington, WV 25701-3829 | 2006-05-16 |
| 1659695765 | Kumar Nephrology and Hypertension Inc | Internal Medicine | 1656 13th Ave, Huntington, WV 25701-3829 | 2010-03-18 |
| 1144481565 | Robin Arora | Internal Medicine | 1656 13th Ave, Huntington, WV 25701-3829 | 2008-06-18 |
| 1477561546 | Rashmi Kumar | Psychiatry & Neurology | 1656 13th Ave, Huntington, WV 25701-3829 | 2006-08-04 |
| 1093769507 | Subhash Kumar M.d. | Internal Medicine | 1656 13th Ave, Huntington, WV 25701-3829 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607803 | Sara Tonya Hicks | Technician | 742 4th Avenue, Huntington, WV 25701 | 2020-10-21 |
| 1316550791 | Ethan Scott Miller | Counselor | 1538 Charleston Ave., Huntington, WV 25701 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1558972224 | Ardith Ruth Bartram | Technician | 4045 C 8th Street Road, Huntington, WV 25701 | 2020-08-14 |
| 1144839614 | Randall Edward Short | Behavior Technician | 10th Sixth Avenue West, Huntington, WV 25701 | 2020-07-30 |
| 1609495191 | Melanie Jean Howard | Pharmacist | 1538 Charleston Avenue, Huntington, WV 25701 | 2020-04-14 |
| 1205472016 | Kelly Kauffer | Technician | 1012 Johns Court, Huntington, WV 25701 | 2019-11-27 |
| 1265082648 | Matt France | Technician | 3650 Taymor Rd, Huntington, WV 25701 | 2019-09-17 |
| 1538649348 | Kathryn Markus | Pharmacist | 1500 Medical Center Drive, Huntington, WV 25701 | 2018-08-21 |
| 1487155636 | Heather Marie Rogers | Nurse Practitioner | 940 4th Ave, Huntington, WV 25701 | 2018-02-23 |
| Find all providers in zip 25701 | ||||
| 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 |
|---|---|---|---|---|
| 1457755431 | Fms Cabell Huntington Dialysis Centers, LLC | Clinic/Center | 1500 17th St, Huntington, WV 25701-3956 | 2014-10-20 |
| 1962643809 | Fms Cabell Huntington Dialysis Centers, LLC | Clinic/Center | 1690 Medical Center Dr., Huntington, WV 25701-3800 | 2009-03-23 |
| 1942315791 | Rcg Indiana LLC | Clinic/Center | 2859 Northpark Ave, Suite 112, Huntington, IN 46750-7964 | 2006-08-20 |
| 1114972353 | Isd Renal Inc | Clinic/Center | 3040 W Park Dr, Huntington, IN 46750-8956 | 2006-05-24 |
| 1306267257 | Fresenius Medical Care Fort Wayne, LLC | Clinic/Center | 2859 Northpark Ave, Suite 112, Huntington, IN 46750-7964 | 2013-12-19 |
| 1437489432 | Fresenius Medical Care Himg Dialysis Center, LLC | Clinic/Center | 5170 Us Route 60 E, Huntington, WV 25705-2065 | 2010-01-13 |
| 1922283480 | Huntington Hospital Association | Clinic/Center | 270 Park Ave, Huntington, NY 11743 | 2008-01-03 |
| 1134289234 | Carillon Dialysis, LLC | Clinic/Center | 830 Park Ave, Huntington, NY 11743-4543 | 2006-12-11 |
| 1740359256 | Cabell Huntington Hospital Inc | Clinic/Center | 1340 Hal Greer Blvd, Huntington, WV 25701-3800 | 2006-11-07 |
| 1508845322 | Huntington Hospital Association | Clinic/Center | 270 Park Ave, Huntington, NY 11743-2787 | 2006-01-11 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25701 |
Please comment or provide details below to improve the information on GRAYSON DIALYSIS AND KIDNEY CENTER.
| 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.