TULSA DIALYSIS LLC (NPI# 1316909534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316909534 |
| Entity Type | Organization |
| Organization Name | TULSA DIALYSIS LLC |
| Other Organization Name | SAPULPA DIALYSIS |
| Practice Address |
9647 Ridgeview St Tulsa OK 74131-6205 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 9182249996 |
| Practice Fax Number | 9182249997 |
| Mailing Telephone | 6153204268 |
| Mailing Fax Number | 8772380567 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | 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 |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200003470A | 05 |
| Other Name | Type Code |
|---|---|
| Sapulpa Dialysis | Doing Business As Name - Organization |
| Street Address |
9647 RIDGEVIEW ST |
| City | TULSA |
| State | OK |
| Zip Code | 74131-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235424797 | Skyler Kristine Kiddy | Behavioral Analyst | 7049 Frankoma Rd # 6, Tulsa, OK 74131-2018 | 2011-06-13 |
| 1790884120 | Allen Bowden School | Nursing Care | 7049 Frankoma Rd, Tulsa, OK 74131-2018 | 2006-09-22 |
| 1528340981 | Shawnda Farrow | Behavioral Analyst | 7049 Frankoma Rd, #6, Admin. Bldg., Tulsa, OK 74131-2018 | 2011-09-12 |
| 1962784330 | Tracy Staten | Behavioral Analyst | 7049 Frankoma Rd, #6, Admin Bldg, Tulsa, OK 74131-2018 | 2011-09-12 |
| 1093097453 | Cassie Crosthwait | Behavioral Analyst | 7049 Frankoma Rd, #6, Admin. Bldg., Tulsa, OK 74131-2018 | 2011-09-12 |
| 1538456017 | Ashley Keener | Counselor | 7049 Frankoma Rd # 6, Tulsa, OK 74131-2018 | 2011-07-05 |
| 1285798942 | Allen Bowden School | Public Health or Welfare | 7049 Frankoma Rd, Tulsa, OK 74131-2018 | 2006-12-20 |
| 1740760172 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 6801 S 65th West Ave, Tulsa, OK 74131-2424 | 2018-08-15 |
| 1497176135 | Lois Rene Dayton | Counselor | 6103 S 58th West Ave, Tulsa, OK 74131-2451 | 2013-12-24 |
| 1326249590 | Shirley Ann Rush | Lodging | 7819 Marilyn Lane, Tulsa, OK 74131-3265 | 2007-05-29 |
| Find all providers in zip 74131 | ||||
| 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 |
|---|---|---|---|---|
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1437590015 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 2845 E Skelly Dr, Tulsa, OK 74105-6221 | 2013-07-11 |
| 1548609480 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 8620 S. Lewis Ave., Tulsa, OK 74137-1267 | 2013-06-24 |
| 1487093720 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 2309 W Edison St, Suite A, Tulsa, OK 74127-5218 | 2013-06-20 |
| 1710140967 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 2309a W Edison St, Tulsa, OK 74127-5218 | 2008-07-08 |
| 1255509188 | Biomedical Application of Okla | Clinic/Center | 2309a West Edison, Tulsa, OK 74127-5218 | 2008-02-13 |
| 1902984156 | St. John Dialysis, LLC | Clinic/Center | 1923 East 21st Street, Tulsa, OK 74114-1402 | 2006-11-02 |
| 1528160710 | Dialysis Specialists of Tulsa, Inc. | Clinic/Center | 8260 S Lewis Ave, Tulsa, OK 74137-1267 | 2006-09-01 |
| 1700842655 | Greenwood Dialysis LLC | Clinic/Center | 1345 N Lansing Ave, Tulsa, OK 74106-5911 | 2006-04-20 |
| Find all providers in TULSA | ||||
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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.