CANYON DIALYSIS LLC (NPI# 1366981268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366981268 |
| Entity Type | Organization |
| Organization Name | CANYON DIALYSIS LLC |
| Other Organization Name | FALKENBURG DIALYSIS |
| Practice Address |
3140 S Falkenburg Rd Ste 101 Riverview FL 33578-2574 |
| Mailing Address |
5200 Virginia Way L&c Dept Brentwood TN 37027-7569 |
| Practice Telephone | 8133721625 |
| Mailing Telephone | 6153204593 |
| Mailing Fax Number | 8002935872 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MR. JOHN WINSTEL (CAO) |
| 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 |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 101483500 | 05 |
| Other Name | Type Code |
|---|---|
| FALKENBURG DIALYSIS | Doing Business As Name - Organization |
| Street Address |
3140 S FALKENBURG RD STE 101 |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33578-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275735276 | Sidharth Panchamia | Anesthesiology | 3140 S Falkenburg Rd, Suite 205, Riverview, FL 33578-2574 | 2007-06-01 |
| 1881240810 | Guidewell Sanitas I, LLC | Clinic/Center | 3140 S Falkenburg Rd, Riverview, FL 33578-2574 | 2019-08-15 |
| 1033776166 | Tampa General Medical Group Inc | Internal Medicine | 3140 S Falkenburg Rd, Riverview, FL 33578-2574 | 2019-05-23 |
| 1407368129 | Sisa K Jose | Nurse Practitioner | 3140 S Falkenburg Rd, Riverview, FL 33578-2574 | 2017-11-03 |
| 1558811315 | Florida Urology Partners LLP | Non-Pharmacy Dispensing Site | 3140 S Falkenburg Rd, Ste 203, Riverview, FL 33578-2574 | 2016-10-05 |
| 1962955765 | Omni Pain Care, Pa | Pain Medicine | 3140 S Falkenburg Rd, Suite 205, Riverview, FL 33578-2574 | 2016-07-27 |
| 1578793493 | Andrew Riano Obando | Physician Assistant | 3140 S Falkenburg Rd, Riverview, FL 33578-2574 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371015 | Carnegie Cares Home Care & Services LLC | In Home Supportive Care | 1004 Rose Petal Place, Riverview, FL 33578 | 2020-09-21 |
| 1437762697 | Learn 2 Speak LLC | Specialist/Technologist | 10310 Granada Green Court, Riverview, FL 33578 | 2020-08-27 |
| 1073138012 | Limitless Therapy, LLC. | Physical Therapist | 8637 Turnstone Shore Lane, Riverview, FL 33578 | 2020-06-16 |
| 1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
| 1821628561 | Devin Jorge Santiago | Psychiatry & Neurology | 725 Primera Blvd Computer Lab, Lake Mary, FL 33578 | 2020-01-22 |
| 1154963759 | Kenneshia M Martin | Physical Therapy Assistant | 13135 Early Run Lane, Riverview, FL 33578 | 2019-10-15 |
| 1376015180 | Dentists of Riverview, Pa | Dentist | 13123 S. Us Hwy 301, Riverview, FL 33578 | 2018-12-19 |
| 1285102152 | Nothing About You Without You, LLC | Case Management | 10428 Yellow Spice Ct, Riverview, FL 33578 | 2018-11-08 |
| 1053887521 | Natasha Dickens | Counselor | 5523 Legacy Crescent Place, Unit 204, Riverview, FL 33578 | 2018-10-22 |
| 1376025965 | Helaina Dollins | Specialist/Technologist | 3347 Magnolia Springs Drive, Apt 203, Riverview, FL 33578 | 2018-08-30 |
| Find all providers in zip 33578 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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|---|---|---|---|---|
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| 1538773411 | 5072020, LLC | Clinic/Center | 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 | 2020-09-08 |
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| 1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
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| 1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
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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.