SOUTHWEST KIDNEY DIALYSIS, LLC (NPI# 1336155753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336155753 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST KIDNEY DIALYSIS, LLC |
| Other Organization Name | SOUTHWEST KIDNEY DIALYSIS - PHOENIX |
| Practice Address |
337 E Coronado Rd Suite 101 Phoenix AZ 85004-1580 |
| Mailing Address |
2149 E Warner Rd Suite 101 Tempe AZ 85284-3494 |
| Practice Telephone | 4806106100 |
| Practice Fax Number | 4806106195 |
| Mailing Telephone | 4806106110 |
| Mailing Fax Number | 6022539465 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-10-30 |
| Authorized Official Name | MICHELLE R. MAUVAIS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4806106110 |
| 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 |
| Other Name | Type Code |
|---|---|
| Southwest Kidney Dialysis - Phoenix | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346436532 | Southwest Kidney Dialysis, LLC | Clinic/Center | 10238 E. Hampton Avenue, Suite 108, Mesa, AZ 85209 | 2007-09-20 |
| 1518973932 | Southwest Kidney Dialysis, LLC | Clinic/Center | 8410 W Thomas Road, Building 1, Suite 100, Phoenix, AZ 85037-3494 | 2006-07-31 |
| 1134178007 | Southwest Kidney Dialysis, LLC | Clinic/Center | 2149 E Warner Rd, Suite 110, Tempe, AZ 85284-3494 | 2006-05-09 |
| 1487603478 | Southwest Kidney Dialysis, LLC | Clinic/Center | 5222 E Baseline Rd, Suite 104, Gilbert, AZ 85234-2963 | 2006-05-08 |
| 1770700171 | Southwest Kidney Dialysis, LLC | Clinic/Center | 20325 N 51st Ave, Building 11, Suite 186, Glendale, AZ 85308-5674 | 2007-04-19 |
| 1053360925 | Southwest Kidney Dialysis, LLC | Clinic/Center | 20325 N 51st Ave, Building 11 Suite 184, Glendale, AZ 85308-5674 | 2006-05-09 |
| Street Address |
337 E CORONADO RD SUITE 101 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-1580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053305540 | Melissa M Go | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2005-09-09 |
| 1851799142 | Adella Deharo | Nurse Practitioner | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2014-12-18 |
| 1902231012 | Southwest Kidney Institute Scottsdale LLC | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2013-09-09 |
| 1013190792 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 337 E Coronado Rd, Ste 101, Phoenix, AZ 85004-1582 | 2007-12-17 |
| 1295916831 | Anita I Chang | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2007-11-26 |
| 1922290253 | Himabindu Chaparala | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2007-08-10 |
| 1376660357 | Hannah R Sobol | Dietitian, Registered | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1583 | 2007-03-23 |
| 1225129752 | Jennifer L Ireland | Nurse Practitioner | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2006-09-28 |
| 1508852716 | Amandeep S Khurana | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2005-09-22 |
| 1902892433 | Jeffrey A Laiserin | Internal Medicine | 337 E Coronado Rd, Suite 201, Phoenix, AZ 85004-1580 | 2005-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| 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 |
|---|---|---|---|---|
| 1649730953 | Scottsdale Kidney Center LLC | Clinic/Center | 6970 E Chauncey Ln Ste 130, Phoenix, AZ 85054-5159 | 2019-03-22 |
| 1932688256 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 926 E Mcdowell Rd Ste 100, Phoenix, AZ 85006-2503 | 2018-08-08 |
| 1982152484 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 4901 W Mcdowell Rd Ste 120, Phoenix, AZ 85035-4160 | 2016-09-14 |
| 1528442779 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 16605 N 28th Ave Ste 100, Phoenix, AZ 85053-7551 | 2015-07-17 |
| 1295070761 | Calaveras Dialysis LLC | Clinic/Center | 5115 E Thomas Rd, Ste 115, Phoenix, AZ 85018-7914 | 2012-12-10 |
| 1801050604 | Southwest Kidney-davita Dialysis Partners LLC | Clinic/Center | 3540 E Baseline Rd Ste 110, Phoenix, AZ 85042-9628 | 2008-07-11 |
| 1770758526 | Southwest Kidney Davita Dialysis Partners LLC | Clinic/Center | 4845 W Mcdowell Rd, Ste 10a, 20a, 30a, Phoenix, AZ 85035-4076 | 2008-04-23 |
| 1891897211 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 1957 W Dunlap Ave Ste 6c, Phoenix, AZ 85021-2985 | 2006-09-05 |
| 1053423954 | Bio-medical Applications of Arizona LLC | Clinic/Center | 3421 N 7th Ave, Phoenix, AZ 85013-3635 | 2006-08-31 |
| 1477665289 | Renal Dimensions, LLC | Clinic/Center | 15930 S 48th St, Suite 100, Phoenix, AZ 85048-0903 | 2006-08-31 |
| Find all providers in PHOENIX | ||||
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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.